Percutaneous Nephrolithotomy: Comparison of the Efficacies and Feasibilities of Regional and General Anesthesia
김성수, 이정우, 유지형, 성락희, 정재용, 노충희,
소속 상세정보
김성수 ( Kim Sung-Soo )
Inje University College of Medicine Sanggye Paik Hospital Department of Urology
이정우 ( Lee Jeong-Woo )
Inje University College of Medicine Sanggye Paik Hospital Department of Urology
유지형 ( Yu Ji-Hyoung )
Inje University College of Medicine Sanggye Paik Hospital Department of Urology
성락희 ( Sung Luck-Hee )
Inje University College of Medicine Sanggye Paik Hospital Department of Urology
정재용 ( Chung Jae-Yong )
Inje University College of Medicine Sanggye Paik Hospital Department of Urology
노충희 ( Noh Choong-Hee )
Inje University College of Medicine Sanggye Paik Hospital Department of Urology
KMID : 0358320130540120846
Abstract
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.
키워드
Anesthesia; Kidney calculi; Percutaneous nephrolithotomy
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