Comparison the continuous epidural anesthesia with general anesthesia in gynecological laparoscopic surgery

Objective To compare the general anesthesia(G) with continuous epidural anesthesia(E) in gynecological laparoscopic surgery's anesthesia safety and stress response.Methods 200 laparoscopic surgery patients in the chengdu fifth hospital from July 2009 to December 2010 were enrolled in,and 100 cases were enclosed to G group(the general anesthesia),the other 100 cases to E group(continuous epidural anesthesia).During five time scales: before C02 pneumoperitoneum(T0),after pneumoperitoneum 5 min(T1),15 min(T2),30 min(T3) and after stopping pneumoperitoneum 10 min(T4),we continuously monitored mean arterial pressure(MAP),electrocardiogram(ECG),oxygen saturation(SpO2),heart rate(HR) and end-tidal carbon dioxide partial pressure(PetC02).Results E group's HR in T1(after pneumoperitoneum 5 mins) and T2(after pneumoperitoneum 15 mins) was significantly less than G group(P0.05).G group's MAP after pneumoperitoneum was significantly higher than E group(P0.05) and after stopping pneumoperitoneum 10 mins MAP has not been restored to the level before pneumoperitoneum.E group's MAP was no significant changes throughout the pneumoperitoneum period(P 0.05),and comparison to G group there was significant difference(P0.05).Conclusion Epidural anesthesia is safe for a short period of laparoscopic surgery,and epidural anesthesia can reduce the stress caused by surgery.