Laparoscopic cholecystectomy under spinal anaesthesia vs. general anaesthesia: a meta-analysis of XXXX .

@entity1 @entity353 @entity260 @entity23 @entity282 @entity1209
BACKGROUND: Laparoscopic Cholecystectomy (LC) is conventionally performed under general anaesthesia (GA), but there are multiple studies which have found spinal anaesthesia (SA) as a safe alternative. This meta-analysis was performed after adding many recent @entity23 ( @entity23 ) to clarify this issue. METHODS: Relevant articles published in English were identified by searching PubMed, Embase, Web of Knowledge, and the Cochrane Controlled Trial Register from January 1, 2000 to December 1, 2014. Reference lists of the retrieved articles were reviewed to identify additional articles. Primary outcomes ( @entity282 scores) and secondary outcomes (operating time (OT) and @entity260 ) were pooled. Quantitative variables were calculated using the @entity353 ( @entity353 ), and qualitative variables were pooled using odds ratios (OR). RESULTS: Seven appropriate @entity23 were identified from 912 published articles. Seven hundred and twelve @entity1 were treated, 352 in SA group and 360 in GA group. LC under SA was superior to LC under GA in @entity282 within 12  h (visual analogue score (VAS) in 2-4  h, @entity353   =   -1.61, P   =   0.000; VAS in 6-8  h, @entity353   =   -1.277, P   =   0.015) and @entity260 ( @entity1209 ( @entity1209 ) @entity353   =   0.427, P   =   0.001; Overall Morbidity @entity353   =   0.691, P   =   0.027). The GA group was superior to SA group in postoperative urinary retention ( @entity353   =   4.273, P   =   0.022). There were no significant differences in operating time ( @entity353   =   0.184, P   =   0.141) between two groups. CONCLUSIONS: SA as the sole anaesthesia technique is feasible, safe for elective LC.
