Comparison of two different anesthesia methods in patients undergoing percutaneous nephrolithotomy

Purpose: The study aims to compare the effectiveness, safety and costs of two different anesthesia methods in percutaneous nephrolithotomy (PCNL) operations. Material and Method: In our study, data was retrospectively examined of 1657 patients who underwent PCNL due to renal calculi between 2009 and 2017. Patients were separated into two groups according to the type of anesthesia; as those who underwent PCNL by general anesthesia (GA) (n = 572) and those under spinal anesthesia( SA) (n = 1085). Standard PCNL technique was used in both groups. Gender, age, operation duration, period of hospitalization, stone-free ratio, post-operative narcotic analgesic need and complications were compared between these two groups. Results: A total of 1657 patients consisting of 1064 (64.2%) male patients and 593 (35.8%) female patients were included in the study. The average age of the all patients was 33.2 ± 12.4 (range 16-74) years. The two groups were similar in terms of mean age, gender, stone size, stone location and body mass index. Mean operation time was significantly shorter in the SA group than in the GA group (81.8 ± 33.9 minute vs. 118.2 ± -42.9 minute respectively, P < .001). Mean period of hospitalization was remarkable shorter in the SA group than in the GA group (30.0 ± 9.9 hours vs. 38.4 ± 11.2 hours respectively, P < .001). Post-operative narcotic analgesic need rate was significantly higher in the GA group than in the SA group (33.4% vs. 10.9%, respectively, P < .001). Anesthesia cost was found significantly lower in the SA group than in the GA group (USD 21.3±2.8 vs. USD 83.6 ± 9.5, respectively, P < .001). Significant difference was not observed between both groups in terms of stone-free ratio, amount of bleeding, fluoroscopy time, pre-operative and post-operative complications. Conclusion: Compared to those performed with GA, PCNL performed with SA is a safe, effective and low-cost method. © 2018 Urology and Nephrology Research Centre.

Dergi Adı Urology Journal
Dergi Cilt Bilgisi 16
Dergi Sayısı 3
Sayfalar 246 - 250
Yayın Yılı 2019
Eser Adı
[dc.title]
Comparison of two different anesthesia methods in patients undergoing percutaneous nephrolithotomy
Yazar
[dc.contributor.author]
Solakhan M.
Yazar
[dc.contributor.author]
Bulut E.
Yazar
[dc.contributor.author]
Erturhan M.S.
Yayın Yılı
[dc.date.issued]
2019
Yayıncı
[dc.publisher]
Urology and Nephrology Research Centre
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose: The study aims to compare the effectiveness, safety and costs of two different anesthesia methods in percutaneous nephrolithotomy (PCNL) operations. Material and Method: In our study, data was retrospectively examined of 1657 patients who underwent PCNL due to renal calculi between 2009 and 2017. Patients were separated into two groups according to the type of anesthesia; as those who underwent PCNL by general anesthesia (GA) (n = 572) and those under spinal anesthesia( SA) (n = 1085). Standard PCNL technique was used in both groups. Gender, age, operation duration, period of hospitalization, stone-free ratio, post-operative narcotic analgesic need and complications were compared between these two groups. Results: A total of 1657 patients consisting of 1064 (64.2%) male patients and 593 (35.8%) female patients were included in the study. The average age of the all patients was 33.2 ± 12.4 (range 16-74) years. The two groups were similar in terms of mean age, gender, stone size, stone location and body mass index. Mean operation time was significantly shorter in the SA group than in the GA group (81.8 ± 33.9 minute vs. 118.2 ± -42.9 minute respectively, P < .001). Mean period of hospitalization was remarkable shorter in the SA group than in the GA group (30.0 ± 9.9 hours vs. 38.4 ± 11.2 hours respectively, P < .001). Post-operative narcotic analgesic need rate was significantly higher in the GA group than in the SA group (33.4% vs. 10.9%, respectively, P < .001). Anesthesia cost was found significantly lower in the SA group than in the GA group (USD 21.3±2.8 vs. USD 83.6 ± 9.5, respectively, P < .001). Significant difference was not observed between both groups in terms of stone-free ratio, amount of bleeding, fluoroscopy time, pre-operative and post-operative complications. Conclusion: Compared to those performed with GA, PCNL performed with SA is a safe, effective and low-cost method. © 2018 Urology and Nephrology Research Centre.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Cost
Konu Başlıkları
[dc.subject]
Percutaneous nephrolithotomy
Konu Başlıkları
[dc.subject]
Spinal anesthesia
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1735-1308
İlk Sayfa Sayısı
[dc.identifier.startpage]
246
Son Sayfa Sayısı
[dc.identifier.endpage]
250
Dergi Adı
[dc.relation.journal]
Urology Journal
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
16
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4855
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
14
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 20:39
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patients groups respectively significantly anesthesia between period hospitalization post-operative stone-free complications analgesic narcotic underwent minute operation shorter performed remarkable Purpose bleeding fluoroscopy pre-operative Conclusion Compared effective observed low-cost method Urology Nephrology Research Centre amount Post-operative
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