Thoracic segmental spinal anaesthesia for laparoscopic cholecystectomy in a case of birt-hogg-dube syndrome

Birt-Hogg-Dube syndrome is an extremely rare genetic disorder featuring multiple lung cyst or bulla which lead to recurrent spontaneous pneumothorax. Laparoscopic cholecystectomy poses a significant challenge in such cases from anesthetic point of view. Thoracic segmental spinal anesthesia (TSS) relatively new and beneficial alternative general avoid post-operative complications. In this report, we used thoracic successfully known case pneumothorax discussed the technique anatomical physiological consequences. We can conclude that be safely laparoscopic specially where better avoided as syndrome.