Comparison Of Different Anesthesia Methods In Patients With Percutaneous Nephrolithotomy
Journal Title: The New Journal of Urology / Yeni Üroloji Dergisi - Year 2020, Vol 15, Issue 1
Abstract
Objective: Nowadays, percutaneous nephrolithotripsy (PCNL) is the first choice of minimally invasive treatment for large and complex kidney stones. In this retrospective study, we compared the efficacy and safety of PCNL surgeries performed under spinal and general anesthesia. Material and Methods: A total of 82 patients who underwent PCNL between October 2016 and August 2018 were included in the study. There were 34 patients in the general anesthesia group (group 1) and 48 patients in the spinal anesthesia group (group 2). All patients’ stone and urinary system features, operation parameters and postoperative findings were recorded. Independent Samples t Test, Mann Whitney U and Chi-Square tests were used. P<0.05 was considered as statistical significance. Results: There was no statistically significant difference between the two groups in terms of mean age, gender and stone sizes respectively (p=0.20, p=0.83, p=0.24). The mean operative time was 57.91±10.18 minutes (min) in Group 1 and 53.56±9.33 min in group 2, and there was a statistically significant difference (p=0.04). The mean fluoroscopy time in Group 1 was 4.23±1.54 min and 3.56±1.25 min in group 2 and there was a significant difference (p =0.008). While the stone- free rate was 84.2 % in group 1, this rate was 85.5 % in group 2 and no significant difference was found (p=0.31). The mean length of hospital stay was 51,08±11,27 hours in group 1 and 50,12±11,18 hours in group 2 (p=0,70). There was no postoperative headache in group 1, but 4 patients had postoperative headache in group 2, but this was not statistically significant (p=0.13).Conclusion: PCNL can be performed quickly and reliably under spinal anesthesia with high success and low complication rate as an alternative to general anesthesia in selected cases.
Authors and Affiliations
Barut, O, Resim,S.
Keywords
Related Articles
- EP ID EP679993
- DOI https://doi.org/10.33719/yud.524098
- Views 276
- Downloads 0
Urinary Tract Infection and Predisposing Factors in Patients with Ureteral Stents
Objective: We aimed to demonstrate the relationship between urine analysis/culture and significant urinary tract infection in patients with Double-J stent (DJS) and thus prevent unnecessary antibiotic use and overtre...
Comparison Of Different Anesthesia Methods In Patients With Percutaneous Nephrolithotomy
Objective: Nowadays, percutaneous nephrolithotripsy (PCNL) is the first choice of minimally invasive treatment for large and complex kidney stones. In this retrospective study, we compared the efficacy and safety of...
The Hemoglobin-Red Cell Distribution Width and Neutrophil -Lymphocyte Ratio in Predicting Lamina Propria Invasion in Bladder Tumors?
Objective: To investigate the importance of the Hemoglobin/Red cell distribution width ratio (Hb/RDW) and Neutrophil/ Lymphocyte ratio (NLR) in predicting bladder lamina propria invasion before transurethral resecti...
The Effectiveness of Real Time Elastography: May the Corticomedullary Strain Rate Be Used in the Diagnosis and Follow-Up of Urinary Obstruction?
Objective: To investigate the utility of corticomedullary strain ratio (SR) in the diagnosis and follow-up of urinary obstruction. Material and Methods: Forty volunteer patients (26 males, 14 females) aged between 1...
The Evaluation of the Relationship Between the Frequency of Urologic Symptoms and the Disease Progression with Multiple Sclerosis
Objektive: Our aim is to determine the relationship between Multiple Sclerosis (MS) disease progression and urological symptoms. Meterial and Methods: We enrolled patients with Newly Diagnosed MS (n: 11), RRMS (n: 9...