To evaluate postoperative shoulder tip pain in low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy

Abstract

INTRODUCTION : Laparoscopic cholecystectomy is the gold standard treatment for gallstone disease. Laparoscopic cholecystectomy has rapidly replaced open cholecystectomy for treatment of patients with gall bladder disease especially cholelithiasis .METHODS: The present study was conducted to evaluate the postoperative shoulder tip pain in low pressure versus standard pressure pneumo peritoneum during laparoscopic cholecystectomyRESULTS : The use of low pressure laparoscopic cholecystectomy (LPLC) as compared to standard pressure laparoscopic cholecystectomy (SPLC) significantly decreases the frequency and intensity of postoperative shoulder tip pain. LPLC decreases the demand for postoperative analgesics, decreases postoperative hospital stay and hence improves the quality of life in the early stage of postoperative rehabilitation. CONCLUSION: On the basis of these results, the widespread use of low pressure pneumoperitoneum during laparoscopic cholecystectomy is recommended.