PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
■文献中只有有限的数据显示麻醉方法对逆行肾内手术成功的影响。这项研究的目的是比较和评估在脊髓和全身麻醉下进行的肾内手术的效果，成本,住院时间和并发症。
■对2014年至2019年间因肾结石而接受肾内逆行手术的337例患者进行了回顾性评估。在我们的研究中,根据给药的麻醉方法将患者分为两组:第1组172例患者接受椎管内麻醉,第2组165例患者接受全身麻醉.两组在人口统计数据方面进行了比较，石头的本地化和大小，射线照相石材密度，操作时间,并发症,需要术后镇痛，住院时间,和石头自由率。
■全身麻醉的费用明显高于脊髓麻醉（p<0.001）。全身麻醉组术后6小时内给予的镇痛应用明显高于全身麻醉组(p<0.001)。在其他发现中，两组间差异无统计学意义。
■Retrograd肾内手术在全身麻醉和脊髓麻醉下都可以以相似的安全性和有效性进行。然而,由于患者术后早期对镇痛药的需求较低，以及使用麻醉药的成本较低，因此脊髓麻醉似乎更有利。
■对2014年至2019年间因肾结石而接受肾内逆行手术的337例患者进行了回顾性评估。在我们的研究中,根据给药的麻醉方法将患者分为两组:第1组172例患者接受椎管内麻醉,第2组165例患者接受全身麻醉.两组在人口统计数据方面进行了比较，石头的本地化和大小，射线照相石材密度，操作时间,并发症,需要术后镇痛，住院时间,和石头自由率。
■全身麻醉的费用明显高于脊髓麻醉（p<0.001）。全身麻醉组术后6小时内给予的镇痛应用明显高于全身麻醉组(p<0.001)。在其他发现中，两组间差异无统计学意义。
■Retrograd肾内手术在全身麻醉和脊髓麻醉下都可以以相似的安全性和有效性进行。然而,由于患者术后早期对镇痛药的需求较低，以及使用麻醉药的成本较低，因此脊髓麻醉似乎更有利。
