Effective and Economical Option of Anesthesia in Retrograde Intrarenal Surgery.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-11-01 DOI:10.4314/ejhs.v33i6.15
Turkan Sadi, Ozan Ekmekcioglu, Ebru Efe Ekmekcioglu, Hakan Ayvaz, Lokman Irkilata, Akkan Avci
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Abstract

Background: There is only limited data in the literature showing the effect of anesthesia methods on the success of retrograd intrarenal surgery. The aim of this study was to compare and evaluate retrograd intrarenal surgery cases performed under spinal and general anesthesia in terms of effectiveness, cost, hospitalization time and complications.

Methods: A total of 337 patients who underwent retrograd intrarenal surgery due to kidney stones between 2014 and 2019 were retrospectively evaluated. In our study, the patients were divided into two groups according to the anesthesia method administered: Group 1 consisted of 172 patients who received spinal anesthesia and Group 2 comprised 165 patients administered general anesthesia. Both groups were compared in terms of demographic data, localization and size of stone, radiographic stone density, operation time, complications, need for postoperative analgesia, length of hospitalization, and stone free rate.

Results: The cost of general anesthesia was significantly higher compared to that of spinal anesthesia (p < 0.001). The analgesia application administered within the first six postoperative hours was significantly higher in the general anesthesia group (p < 0.001). In other findings, there was no statistically significant difference between the two groups.

Conclusion: Retrograd intrarenal surgery can be performed with similar safety and effectiveness under both general and spinal anesthesia. However, spinal anesthesia seems to be more advantageous due to the patients' lower need for analgesics in the early postoperative period and the lower cost of the anesthetics used.

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逆行肾内手术中有效而经济的麻醉选择。
背景:只有有限的文献数据显示麻醉方法对逆行肾内手术成功率的影响。本研究旨在从有效性、成本、住院时间和并发症等方面对脊髓麻醉和全身麻醉下进行的逆行肾内手术病例进行比较和评估:对2014年至2019年期间因肾结石接受逆行肾内手术的337例患者进行回顾性评估。在我们的研究中,根据麻醉方法将患者分为两组:第一组包括172名接受脊髓麻醉的患者,第二组包括165名接受全身麻醉的患者。两组患者在人口统计学数据、结石的位置和大小、放射学结石密度、手术时间、并发症、术后镇痛需求、住院时间和无结石率等方面进行了比较:全身麻醉的费用明显高于脊髓麻醉(P < 0.001)。全身麻醉组在术后头六个小时内使用的镇痛药明显较多(P < 0.001)。结论:逆行肾内手术是一种有效的治疗方法:结论:逆行肾内手术可在全身麻醉和脊髓麻醉下进行,安全性和有效性相似。结论:逆行肾内手术可在全身麻醉和脊髓麻醉下进行,其安全性和有效性相似,但脊髓麻醉似乎更有优势,因为患者在术后早期对镇痛剂的需求较低,而且所用麻醉剂的成本也较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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