Abstract

Laparoscopic operations are being performed under general anaesthesia (GA). Further studies are needed to establish whether these operations can be performed under spinal anaesthesia (SA) more effectively. Aim & Objective: In this study we aimed to compare SA with GA among patients of carcinoma stomach undergoing laparoscopy for the staging of the disease. Material & methods: The simple randomized controlled trial (RCT) was conducted at department of anaesthesia of a tertiary care hospital on 60 patients. Adult ASA I & II patients with carcinoma stomach scheduled for staging laparoscopy were recruited and divided into two groups; Group 1 (Group SA) & Group 2 (Group GA). The mode of induction and maintenance of anaesthesia in each group were standardized. Need for the conversion of SA to GA, surgeon satisfaction, patient satisfaction, evidence of perioperative shoulder tip pain and need of ionotropic drug for maintaining stable hemodynamics were statistically compared between 2 groups. Results: Average age of patients in both groups was in mid 40s and significant results were found when compared on basis of gender. Not a single case had required the conversion of SA to GA. Surgeon satisfaction levels were same in both the techniques while better patient satisfaction levels and early discharges were noted in Group 1 (Group SA). Also, lesser evidence of perioperative shoulder tip pain were found in Group 1 (Group SA). Conclusion: Laparoscopy is a good method for staging of carcinoma stomach and spinal anaesthesia can be the more efficient, cheaper and less risky mode of anaesthesia, particularly avoiding the major risks associated with the general anaesthesia.

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