This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
Recovery after uncomplicated laparoscopic cholecystectomy.
BACKGROUND After laparoscopic cholecystectomy , the duration of convalescence is 2 to 3 weeks with an unclear pathogenesis . This study was undertaken to analyze postoperative recovery after uncomplicated elective laparoscopic cholecystectomy . METHODS Twenty-four consecutive unselected employed patients were followed up prospect ively from 1 week before to 1 week after outpatient laparoscopic cholecystectomy . Daily computerized monitoring of physical motor activity and sleep duration and night sleep fragmentation ( actigraphy ) , subjective sleep quality , pulmonary function , pain , and fatigue were registered . Treadmill exercise performance ( preoperatively and at postoperative days 2 and 8) and nocturnal pulse oximetry  at the patients ' homes ( preoperatively and postoperative nights 1 - 3 ) were completed . RESULTS Median age was 41 years ( range , 21 - 56 ) . Compared with preoperatively , levels of physical motor activity , fatigue , and pain scores were normalized 2 days after operation . Subjective sleep quality was significantly worsened on the first postoperative night , and sleep duration was significantly increased on the first 2 postoperative nights . There were no significant perioperative changes in actigraphy night sleep fragmentation , incidence of self-reported awakenings or nightmares/distressing dreams , exercise performance , or nocturnal oxygenation . Pulmonary peak flow measurements were normalized the day after operation . CONCLUSION After uncomplicated outpatient laparoscopic cholecystectomy , there is no pathophysiologic basis for recommending a postoperative convalescence of more than 2 to 3 days in otherwise healthy younger patients
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .