Regional anesthesia for laparoscopic surgery: a narrative review.

Abstract:

:Laparoscopic surgery has advanced remarkably in recent years, resulting in reduced morbidity and shorter hospital stay compared with open surgery. Despite challenges from the expanding array of laparoscopic procedures performed with the use of pneumoperitoneum on increasingly sick patients, anesthesia has remained largely unchanged. At present, most laparoscopic operations are usually performed under general anesthesia, except for patients deemed "too sick" for general anesthesia. Recently, however, several large, retrospective studies questioned the widely held belief that general anesthesia is the best anesthetic method for laparoscopic surgery and suggested that regional anesthesia could also be a reasonable choice in certain settings. This narrative review is an attempt to critically summarize current evidence on regional anesthesia for laparoscopic surgery. Because most available data come from large, retrospective studies, large, rigorous, prospective clinical trials comparing regional vs. general anesthesia are needed to evaluate the true value of regional anesthesia in laparoscopic surgery.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Vretzakis G,Bareka M,Aretha D,Karanikolas M

doi

10.1007/s00540-013-1736-z

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

429-46

issue

3

eissn

0913-8668

issn

1438-8359

journal_volume

28

pub_type

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