Anesthesia Management in Laparoscopic Cholecystectomy: A CASE REPORT

Background : Laparoscopic cholecystectomy is a minimally invasive procedure for treating cholelithiasis, offering reduced pain and faster recovery. However, it presents challenges in anesthesia management due to the effects of CO2 insufflation and patient positioning on respiratory and cardiovascular functions. Case Illustration : A 56-year-old female with cholelithiasis underwent laparoscopic cholecystectomy after presenting with right upper abdominal pain and nausea. Preoperative evaluation revealed no significant comorbidities. General anesthesia was induced with fentanyl, propofol, and atracurium, followed by intubation with an endotracheal tube. Intraoperative monitoring included ECG, pulse oximetry, blood pressure, and EtCO2. The procedure proceeded without complications, and the patient was extubated and transferred to recovery. Conclusion : Anesthesia management for laparoscopic cholecystectomy requires careful monitoring of respiratory and cardiovascular changes caused by CO2 insufflation and positioning. In this case, a coordinated approach with multimodal analgesia and vital sign monitoring ensured stable hemodynamic and successful recovery, emphasizing the importance of tailored anesthesia strategies for laparoscopic procedures.