Özet:

Aim Laparoscopic cholecystectomy (LC) is a frequently applied in current practice. Pain management after LC is of great importance. In this study, the effect of neuromuscular blockade depth, remnant CO2 excretion and prolonged assisted ventilation on postoperative pain in patients undergoing LC were evaluated. Methods and Results A total of 80 patients were taken to the study and divided into 4 groups. Group1: Control with standard LC, Group2: Receiving assisted ventilation in the Trendelenburg position for five minutes at the end of LC, Group3: Receiving deep muscle relaxation during the LC, Group4: Receiving deep muscle relaxation during the LC and taking assisted ventilation for five minutes at the end of LC. Postoperative period of 24 hours, the evaluation of pain was done with visual analogue scale (VAS). In addition, nausea, vomiting, shoulder pain and surgical satisfaction were assessed. As a result, 77.5% of the patients were female, the mean age was 51.9 12.5 (25-86) years. There was no statistically significant difference between the groups in terms of demographic data, nausea, and vomiting. The surgical duration (41.3±11.3 and 40.6±18.5min) and shoulder pain (75% and 80%) was found statistically significantly lower in Group 3 and 4 (P=0.035, P=0.002 respectively). In terms of comparing surgical satisfaction, it was found very high in Group 3 and 4 (P=0.001) Conclusions Deep muscle relaxation decreased postoperative shoulder pain, and it was found that assisted ventilation made for five minutes in the Trendelenburg position at the end of the LC reduced postoperative pain.

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