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 .
Randomized comparison of conventional and gasless laparoscopic cholecystectomy: Operative technique, postoperative course, and recovery
The positive CO2 pneumoperitoneum needed to create the working space for laparoscopic surgery induces cardiovascular , neuroendocrine , and renal changes . Concern about these pathophysiologic changes has led to the introduction of a gasless technique .  Fifty consecutive patients with symptomatic gallstones were r and omized to conventional ( CLC ) or gasless laparoscopic cholecystectomy ( GLC ) , with special reference to overall patient satisfaction , technical difficulties , duration of surgery , postoperative pain , and recovery . The overall exposure of the operative field was extremely poor in the GLC group , whereas the duration of surgery , steps involved in the cholecystectomy technique , length of hospital stay , and postoperative pain score did not differ significantly . After discharge , the median time to complete relief of pain tended to be shorter in the gasless group ( 5 days [ range 1 to 15 ] ) vs. the conventional group ( 8 days [ range 1 to 15 ] ) . The period to return to normal activity was shorter in the GLC group ( 6 days [ range 1 to 1.5 ] ) compared to the CLC group ( 8.5 days [ range 1 to 15 ] ) ( P = 0.031 ) . No differences were found in terms of fatigue , dizziness and nausea , and overall satisfaction with the outcome . This study demonstrates a significantly shorter convalescence after laparoscopic cholecystectomy by means of the gasless technique compared to the conventional CO2 technique . Exposure of the operative field was less than optimal using the gasless technique
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 .