Korean J Anesthesiol.  2009 Mar;56(3):330-333. 10.4097/kjae.2009.56.3.330.

Laparoscopic cholecystectomy performed under regional anesthesia in patient who had undergone pneumonectomy: A case report

• Yi JW
• Choi SE
• Chung JY

• KMID: 2238133
• DOI: http://doi.org/10.4097/kjae.2009.56.3.330

Abstract

Seventy-one years old, ASA physical status III, male patient underwent laparoscopic cholecystectomy due to acute cholecystitis with gall bladder (GB stone). He had undergone right pneumonectomy nine years ago. Moderate obstructive and restrictive pattern was found on PFT and hypokinesia of apical anterior and septum segments was seen on echocardiography. Due to patient's refusal of receiving general anesthesia, we decided to perform regional anesthesia. Epidural catheter was inserted at 10th thoracic intervertebral space and segmental spinal anesthesia was performed at L2-L3 intervertebral space with 5 mg of hyperbaric bupivacaine 0.5% and 20 ug of fentanyl. A segmental sensory block, extending from T3 through L2 dermatomes, was obtained. Surgery was performed smoothly and uneventfully. Patient discharged from hospital at 3 days after surgery.

Keyword

Laparoscopic cholecystectomy; Pneumonectomy; Regional anesthesia

MeSH Terms

Anesthesia, Conduction
Anesthesia, General
Anesthesia, Spinal
Bupivacaine
Catheters
Cholecystectomy, Laparoscopic
Cholecystitis, Acute
Disulfiram
Echocardiography
Fentanyl
Humans
Hypokinesia
Male
Pneumonectomy
Urinary Bladder
Bupivacaine
Disulfiram
Fentanyl