Cargando…

Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia

PURPOSE: To compare surgical outcomes and complications after percutaneous nephrolithotomy (PCNL) under regional or general anesthesia. MATERIALS AND METHODS: One hundred and one patients who underwent PCNL as a first-line treatment for kidney calculi between June 2004 and June 2013 were enrolled in...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Sung Soo, Lee, Jeong Woo, Yu, Ji Hyoung, Sung, Luck Hee, Chung, Jae Yong, Noh, Choong Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866288/
https://www.ncbi.nlm.nih.gov/pubmed/24363866
http://dx.doi.org/10.4111/kju.2013.54.12.846
_version_ 1782296141400899584
author Kim, Sung Soo
Lee, Jeong Woo
Yu, Ji Hyoung
Sung, Luck Hee
Chung, Jae Yong
Noh, Choong Hee
author_facet Kim, Sung Soo
Lee, Jeong Woo
Yu, Ji Hyoung
Sung, Luck Hee
Chung, Jae Yong
Noh, Choong Hee
author_sort Kim, Sung Soo
collection PubMed
description PURPOSE: To compare surgical outcomes and complications after percutaneous nephrolithotomy (PCNL) under regional or general anesthesia. MATERIALS AND METHODS: One hundred and one patients who underwent PCNL as a first-line treatment for kidney calculi between June 2004 and June 2013 were enrolled in this retrospective study. Patients were classified into two groups by anesthetic method: 77 were allocated to the regional anesthesia group and 24 to the general anesthesia group. Patient general characteristics, stone features, surgical outcomes, and complications were compared between the two groups. RESULTS: The two groups were similar in terms of mean age and stone size, number, and type. Furthermore, they did not differ significantly in terms of general characteristics, treatment outcomes, or complications excluding postoperative fever. However, mean hospital stay was significantly shorter in the regional anesthesia group than in the general anesthesia group (8.9±3.2 days vs. 11.5±6.9 days, respectively, p=0.025). Also, the postoperative fever rate was significantly higher in the general anesthesia group (53.2% vs. 83.3%, respectively, p=0.007). CONCLUSIONS: Regional anesthesia is as effective as general anesthesia during percutaneous nephrolithotomy and is associated with shorter hospital stays and lower rates of postoperative fever.
format Online
Article
Text
id pubmed-3866288
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher The Korean Urological Association
record_format MEDLINE/PubMed
spelling pubmed-38662882013-12-20 Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia Kim, Sung Soo Lee, Jeong Woo Yu, Ji Hyoung Sung, Luck Hee Chung, Jae Yong Noh, Choong Hee Korean J Urol Original Article PURPOSE: To compare surgical outcomes and complications after percutaneous nephrolithotomy (PCNL) under regional or general anesthesia. MATERIALS AND METHODS: One hundred and one patients who underwent PCNL as a first-line treatment for kidney calculi between June 2004 and June 2013 were enrolled in this retrospective study. Patients were classified into two groups by anesthetic method: 77 were allocated to the regional anesthesia group and 24 to the general anesthesia group. Patient general characteristics, stone features, surgical outcomes, and complications were compared between the two groups. RESULTS: The two groups were similar in terms of mean age and stone size, number, and type. Furthermore, they did not differ significantly in terms of general characteristics, treatment outcomes, or complications excluding postoperative fever. However, mean hospital stay was significantly shorter in the regional anesthesia group than in the general anesthesia group (8.9±3.2 days vs. 11.5±6.9 days, respectively, p=0.025). Also, the postoperative fever rate was significantly higher in the general anesthesia group (53.2% vs. 83.3%, respectively, p=0.007). CONCLUSIONS: Regional anesthesia is as effective as general anesthesia during percutaneous nephrolithotomy and is associated with shorter hospital stays and lower rates of postoperative fever. The Korean Urological Association 2013-12 2013-12-10 /pmc/articles/PMC3866288/ /pubmed/24363866 http://dx.doi.org/10.4111/kju.2013.54.12.846 Text en © The Korean Urological Association, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Sung Soo
Lee, Jeong Woo
Yu, Ji Hyoung
Sung, Luck Hee
Chung, Jae Yong
Noh, Choong Hee
Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
title Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
title_full Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
title_fullStr Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
title_full_unstemmed Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
title_short Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
title_sort percutaneous nephrolithotomy: comparison of the efficacies and feasibilities of regional and general anesthesia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866288/
https://www.ncbi.nlm.nih.gov/pubmed/24363866
http://dx.doi.org/10.4111/kju.2013.54.12.846
work_keys_str_mv AT kimsungsoo percutaneousnephrolithotomycomparisonoftheefficaciesandfeasibilitiesofregionalandgeneralanesthesia
AT leejeongwoo percutaneousnephrolithotomycomparisonoftheefficaciesandfeasibilitiesofregionalandgeneralanesthesia
AT yujihyoung percutaneousnephrolithotomycomparisonoftheefficaciesandfeasibilitiesofregionalandgeneralanesthesia
AT sungluckhee percutaneousnephrolithotomycomparisonoftheefficaciesandfeasibilitiesofregionalandgeneralanesthesia
AT chungjaeyong percutaneousnephrolithotomycomparisonoftheefficaciesandfeasibilitiesofregionalandgeneralanesthesia
AT nohchoonghee percutaneousnephrolithotomycomparisonoftheefficaciesandfeasibilitiesofregionalandgeneralanesthesia