Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials
Joint Authors
Wang, Xian-Xue
Zhou, Quan
Pan, Dao-Bo
Deng, Hui-Wei
Zhou, Ai-Guo
Guo, Hua-Jing
Huang, Fu-Rong
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-25
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Laparoscopic cholecystectomy is usually carried out under general anesthesia.
There were a few studies which have found spinal anesthesia as a safe alternative.
We aimed to evaluate the postoperative events between spinal anesthesia and general anesthesia in patients undergoing laparoscopic cholecystectomy.
Methods.
We searched PubMed, Embase, and Cochrane Library (from inception to January 2016) for eligible studies.
The primary outcome was the visual analogue scale score.
Secondary outcomes included postoperative nausea and vomiting and urine retention 24 hours postoperatively.
We calculated pooled risk ratios and 95% confidence interval using random- or fixed-effects models.
Results.
Eight trials involving 723 patients were listed.
Meta-analysis showed that patients in spinal anesthesia groups have lower visual analogue scale score 24 hours postoperatively.
There were significant decreases in the occurrence of postoperative nausea and vomiting in spinal anesthesia group when compared with general anesthesia group (odds ratios: 0.38, 95% confidence interval: 0.19–0.76; P = 0.006 ) with heterogeneity accepted ( I 2 = 13 % ; P = 0.33 ), while urine retention rate was increased in patients with spinal anesthesia (odds ratios: 4.95, 95% confidence interval: 1.24–19.71; P = 0.02 ) without any heterogeneity ( I 2 = 0 % ; P = 0.98 ).
Conclusions.
Spinal anesthesia may be associated with less postoperative pain and postoperative nausea and vomiting compared with general anesthesia.
American Psychological Association (APA)
Wang, Xian-Xue& Zhou, Quan& Pan, Dao-Bo& Deng, Hui-Wei& Zhou, Ai-Guo& Guo, Hua-Jing…[et al.]. 2016. Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials. BioMed Research International،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1099308
Modern Language Association (MLA)
Wang, Xian-Xue…[et al.]. Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials. BioMed Research International No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1099308
American Medical Association (AMA)
Wang, Xian-Xue& Zhou, Quan& Pan, Dao-Bo& Deng, Hui-Wei& Zhou, Ai-Guo& Guo, Hua-Jing…[et al.]. Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1099308
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099308