OPTIMIZATION OF ANESTHESIOLOGICAL MANAGEMENT IN ELDERLY PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY
Keywords:
Laparoscopic cholecystectomy; elderly patients; multimodal anesthesia; epidural anesthesia; total intravenous anesthesia; hemodynamic stability; postoperative recovery.Abstract
Laparoscopic cholecystectomy is a widely used minimally invasive surgical treatment method, especially in elderly patients. However, the need for carbon dioxide pneumoperitoneum and mechanical ventilation creates significant hemodynamic and respiratory challenges. This study compares the effects of combined multimodal anesthesia (epidural blockade with mechanical ventilation) and conventional total intravenous anesthesia with mechanical ventilation in elderly patients aged 60–74 years. By analyzing intraoperative and postoperative hemodynamic stability, respiratory function, and analgesic outcomes, this research aims to determine the optimal anesthesiological approach to enhance patient safety and postoperative recovery.
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