Laparoscopic cholecystectomy (LC) is the most
frequently performed elective surgery for symptomatic
cholelithiasis. Trocar site pain after LC causes increased stress,
morbidity and hospital stay. Consumption of intravenous
opioid and nonopioid analgesics for control of postoperative
pain is common. Intravenous analgesics have also side effects.
Pain control with local anaesthetic infiltration can reduce
intravenous analgesics consumption and postoperative
stress. The aim of this study is point the efficiencies of local
anaesthetic infiltration after LC.
Methods: A total of 100 patients with ASA Class 1-2 were
included to the study. All of the patients underwent to
standard LC. Patients were divided into two groups of 50
each. Group-1 consisted of local bupivacaine enjected 50
patients and group-2 was consisted of non-local enjected
50 patients, after LC. Two groups were compared with the
Mann-Whitney U test. A total of 10 cc sterile 1% bupivacaine
infiltration was performed each patient in group-1. The
4th and 12th hour visual analogue scale (VAS) scores,
were recorded. SPSS 15.0 program was used for statistical
Results: In group-1, the mean VAS score was 2 in the fourth
hour and 3.4 in the twelfth hour; in group-2 the fourth hour
was 5.1 and the twelfth hour was 4.6. The mean VAS score
in group-1 was statistically lower (p<0.02) than group-2.
Conclusion: Local anesthetic injection to trocar wounds
is cheaper and safer than other anesthetic methods.
Bupivacaine infiltration after LC is a feasible method,
which reduces pain in trocar incisions and consumption of
intravenous opioid and nonopioid analgesics.