الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Laparoscopic cholecystectomy is one of the most widely performed laparoscopic procedures. The recognized benefits of this technique compared with open cholecystectomy include less post-operative pain, earlier discharge from hospital, more rapid convalescence, and earlier return to normal activities
However, patients undergoing laparoscopic cholecystectomy do experience pain. An intervention as intraperitoneal analgesia that ameliorates post-operative pain could have a major impact on current clinical practice and effect the attitude towards short stay or ambulatory laparoscopic cholecystectomy
The aim of this study was to review whether or not instillation of local anesthetics alone or with pethidine or tenoxicam into the peritoneal cavity is effective to ameliorate post operative pain relief in laparoscopic cholecystectomy
This study was carried out on 45 adult patients admitted to Alexandria University Hospital for elective labaroscopic cholecystectomy; patients were selected as grade I or II physical status of Americal Society of Anesthesiologists(ASA)