[Postoperative nausea, vomiting and pain in laparoscopic cholecystectomy: a comparison with minilaparotomy-cholecystectomy].
Postoperative nausea, vomiting and pain were compared between laparoscopic cholecystectomy group and minilaparotomy-cholecystectomy group. All patients were women, and ranged in age from 20 to 60 years. The body mass index of the patients was less than 30, and duration of operation was within 120 minutes in both groups. All patients received general anesthesia combined with epidural analgesia. Morphine hydrochloride 4 mg was administered into epidural space before incision. No significant differences were found in the incident of nausea and vomiting among the two groups. Postoperative analgesic requirement of laparoscopic cholecystectomy group was significantly less than that of minilaparotomy-cholecystectomy group. No significant differences were found in the incidence of nausea and vomiting between the group which required postoperative analgesic drugs and the group which required no postoperative analgesic drugs. These results suggest that laparoscopic operation and postoperative pain do not influence the incidence of nausea and vomiting. Postoperative pain after laparoscopic cholecystectomy is less than that after minilaparotomy-cholecystectomy.
Kobayashi
N
N
Department of Anesthesia, Izinkai Takeda General Hospital, Kyoto, Japan.
Ishii
S
S
D000328:Adult; D015360:Analgesia, Epidural; D000768:Anesthesia, General; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D009325:Nausea / Q000453:epidemiology*; D010149:Postoperative Pain / Q000453:epidemiology*; D011183:Postoperative Complications / Q000453:epidemiology*; D014839:Vomiting / Q000453:epidemiology*