A prospective comparative study of subserosal tumescence with local anaesthesia of Calot’s triangle versus placebo on postoperative pain after laparoscopic cholecystectomy at a tertiary care hospital in Sikkim.

Priyanka; Dr. Babita  Chettri; Dr. Shashank  Aswal; Dr. Kumar  Nishant

doi:10.51168/sjhrafrica.v7i3.2500

Authors

Dr. Priyanka Assistant Professor, Department of General Surgery, Sikkim Manipal Institute of Medical Sciences, India.
Dr. Babita Chettri Assistant Professor, Department of General Surgery, Sikkim Manipal Institute of Medical Sciences, India.
Dr. Shashank Aswal Senior Resident, Department of General Surgery, Sikkim Manipal Institute of Medical Sciences, India
Dr. Kumar Nishant Professor and HOD, Department of General Surgery, Sikkim Manipal Institute of Medical Sciences, India

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2500

Keywords:

laparoscopic cholecystectomy, postoperative pain, lidocaine, tumescence, VAS

Abstract

Background:

Postoperative pain remains a significant concern after laparoscopic cholecystectomy. Subserosal tumescence with local anesthetics may reduce pain, but evidence is limited.

Methods:

A prospective comparative study was conducted on 60 patients undergoing laparoscopic cholecystectomy. Patients were divided into two groups: lidocaine tumescence and placebo (normal saline). Postoperative pain was assessed using the Visual Analog Scale (VAS) at multiple intervals. Secondary outcomes included postoperative nausea and vomiting (PONV), shoulder tip pain, and hemodynamic parameters.

Results:

The mean age was comparable between groups (37.13±11.34 vs 39.43±12.32 years; p=0.455). The lidocaine group demonstrated significantly lower VAS scores at all postoperative time points (p<0.05), with the greatest difference at 2 hours (5.37±2.31 vs 7.13±2.51; p=0.006). No significant differences were observed in PONV or shoulder tip pain (p>0.05). Hemodynamic parameters remained stable in both groups.

Conclusion:

Subserosal tumescence of Calot’s triangle with lidocaine significantly reduces postoperative pain following laparoscopic cholecystectomy without affecting PONV or shoulder tip pain.

Author Biographies

Dr. Shashank Aswal, Senior Resident, Department of General Surgery, Sikkim Manipal Institute of Medical Sciences, India

Dr. Kumar Nishant, Professor and HOD, Department of General Surgery, Sikkim Manipal Institute of Medical Sciences, India

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