Key result
Laparoscopic cholecystectomy was associated with a non-significant trend toward less impairment of postoperative pulmonary function compared to open cholecystectomy, alongside significantly reduced postoperative pain and opioid requirements.
Why the study?
Does laparoscopic cholecystectomy improve postoperative pulmonary function and reduce pain compared to open cholecystectomy in patients undergoing cholecystectomy?
Population
30 patients of ASA grade I and II scheduled for cholecystectomy. Excluded: acute chest disease, sepsis…
Comparison
Laparoscopic cholecystectomy (n=15) vs Upper abdominal open cholecystectomy (n=15)
Design
Cohort
Follow-up
24 hours postoperatively
Authors
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Supports laparoscopic preference for pain control; leaves open any pulmonary advantage in this Level 3 cohort.
Observational (n=30)
No
Does laparoscopic cholecystectomy improve postoperative pulmonary function and reduce pain compared to open cholecystectomy in patients undergoing cholecystectomy?
Absolute Event Rate: 13% vs 15%
Laparoscopic cholecystectomy is associated with less postoperative pain and lower opioid requirements than open cholecystectomy, though both cause transient pulmonary function impairment.
Afroza et al. (2014) conducted an observational in Cholecystectomy (n=30). Laparoscopic cholecystectomy vs. Open cholecystectomy was evaluated on Decrease in FEV1 at 6 hours post-operation. Laparoscopic cholecystectomy was associated with a non-significant trend toward less impairment of postoperative pulmonary function compared to open cholecystectomy, alongside significantly reduced postoperative pain and opioid requirements.
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