Our Summary

This study compared three tools used to help patients breathe during a specific type of surgery (laparoscopic cholecystectomy): the endotracheal tube, and two types of laryngeal masks, the Supreme and i-gel. The study included 325 patients and measured things like how long it took to insert the device, how many tries it took to place the device correctly, and the pressure of the seal in the throat.

Results showed that it took slightly longer to insert the Supreme laryngeal mask compared to the other two devices, but this difference was very small. The success rate for placing all three devices was about the same. There was also no significant difference in seal pressure between the two laryngeal masks.

Overall, the study found that all three devices were equally effective at managing a patient’s airway during surgery, and allowed for efficient ventilation and oxygen supply, even with the changes in the body that come with this type of surgery.

FAQs

  1. What tools were compared in the study for helping patients breathe during a laparoscopic cholecystectomy?
  2. Was there a significant difference in the time it took to insert the Supreme laryngeal mask compared to the other two devices?
  3. What did the study conclude about the effectiveness of the endotracheal tube and the two types of laryngeal masks in managing a patient’s airway during surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic cholecystectomy is to trust in the effectiveness of the tools and techniques used to manage their airway during surgery. This study shows that different devices, such as the endotracheal tube and laryngeal masks like the Supreme and i-gel, are equally successful in ensuring proper ventilation and oxygen supply. Patients can feel confident that their medical team is equipped to support their breathing during the procedure.

Suitable For

Patients who are typically recommended for laparoscopic cholecystectomy are those who have symptomatic gallstones, acute cholecystitis, chronic cholecystitis, or gallbladder polyps. These patients may experience symptoms such as abdominal pain, nausea, vomiting, and jaundice. Laparoscopic cholecystectomy is considered the standard treatment for these conditions as it is less invasive, has a shorter recovery time, and lower risk of complications compared to open surgery.

Timeline

Before laparoscopic cholecystectomy:

  1. Patient experiences symptoms of gallbladder issues such as abdominal pain, nausea, and vomiting.
  2. Patient undergoes diagnostic tests such as ultrasound or CT scan to confirm gallbladder disease.
  3. Surgeon recommends laparoscopic cholecystectomy as the treatment option.
  4. Patient undergoes pre-operative evaluation and preparation for surgery.

During laparoscopic cholecystectomy:

  1. Patient is given general anesthesia.
  2. Surgeon makes small incisions in the abdomen and inserts a laparoscope to view the gallbladder.
  3. Surgeon removes the gallbladder using specialized instruments.
  4. Patient’s airway is managed using a device such as an endotracheal tube or laryngeal mask.

After laparoscopic cholecystectomy:

  1. Patient wakes up in the recovery room and is monitored for any complications.
  2. Patient may experience some pain and discomfort in the abdomen.
  3. Patient is discharged home the same day or after a short hospital stay.
  4. Patient follows post-operative instructions for pain management, diet, and activity restrictions.
  5. Patient follows up with the surgeon for a post-operative visit to monitor recovery and ensure no complications have arisen.

What to Ask Your Doctor

  1. What is laparoscopic cholecystectomy and why do I need this procedure?
  2. What are the potential risks and complications associated with laparoscopic cholecystectomy?
  3. How long will the surgery take and how long is the recovery time?
  4. Will I need to stay in the hospital overnight after the surgery?
  5. Will I have any dietary restrictions or limitations after the surgery?
  6. What kind of follow-up care will I need after the surgery?
  7. How soon can I return to normal activities, such as work or exercise, after the surgery?
  8. Will there be any scarring or visible marks after the surgery?
  9. Are there any long-term effects or considerations I should be aware of after having my gallbladder removed?
  10. What are the alternatives to laparoscopic cholecystectomy and why is this the recommended option for me?

Reference

Authors: Videnović N, Mladenović J, Trpković S, Pavlović A, Filipović M, Mladenović R, Mladenović S. Journal: Acta Clin Croat. 2022 Dec;61(4):565-573. doi: 10.20471/acc.2022.61.04.01. PMID: 37868185