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Invited Critique
May 1, 2008

Spinal vs General Anesthesia for Laparoscopic Cholecystectomy: Interim Analysis of a Controlled Randomized Trial—Invited Critique

Arch Surg. 2008;143(5):502. doi:10.1001/archsurg.143.5.502

The ongoing pursuit of minimally invasive and minimally uncomfortable elective surgery continues. The authors present interim results of a prospective randomized trial of spinal vs general anesthesia for laparoscopic cholecystectomy. Fifty patients with American Society of Anesthesiologists status I or II were randomized to each arm. Pain at 4, 8, 12, and 24 hours after the procedure was significantly less following spinal anesthesia than in those patients who had general anesthesia.