Effect of the Anesthetic Method on the Outcomes of Ureteroscopy for Proximal Ureteral Stones: A Multi-center Study of the Society of Urological Surgery Aegean Study Group

Journal of Urological Surgery

article

Fuat Kızılay¹  Bora İrer²  Volkan Şen²  Oğuzcan Erbatu³  Şakir Ongün⁴  Alperen Yıldız⁵  Önder Çınar⁶  Mehmet Şahin¹  Mehmet Oğuz Şahin⁷  Ahmet Cihan⁸  Oktay Üçer³  Ozan Bozkurt⁵ 

[1] Ege University Faculty of Medicine, Department of Urology;İzmir Metropolitan Municipality Eşrefpaşa Hospital, Clinic of Urology;Manisa Celal Bayar University Faculty of Medicine, Department of Urology;İstanbul Bahçelievler State Hospital, Clinic of Urology;Dokuz Eylül University Faculty of Medicine, Department of Urology;Bülent Ecevit University Faculty of Medicine, Department of Urology;Manisa State Hospital, Clinic of Urology;Niğde Ömer Halisdemir University Faculty of Medicine, Department of Urology

关键词: Ureteroscopy;    Ureteral stone;    Spinal anesthesia;    General anesthesia;    Complication;   

DOI  :  10.4274/jus.2123

学科分类：社会科学、人文和艺术（综合）

来源: Galenos Yayinevi

【 摘 要 】

Objective: To analyze the effect of the anesthesia method (spinal and general) on the outcome of ureteroscopy (URS) in patients treated for proximal ureteral stones. Materials and Methods: Patients, who underwent URS for proximal ureteral stones at various urology clinics in Turkiye, were included in the study. The patients were divided into two groups according to the anesthesia method performed; the procedure was performed under spinal anesthesia (SA) in group 1 and general anesthesia (GA) in group 2. Patients’ demographic, perioperative data and complication rates were compared between the two groups in a retrospective manner. Results: There were 309 and 329 patients in groups 1 and 2, respectively. The mean stone area and Hounsfield unit in GA group were higher (p0.05). The rate of success of URS, which is accepted as complete stone-free status, was higher in the SA group (p=0.041). Conclusion: URS, which is used in the treatment of proximal ureteral stones, has a high success rate, independent of the anesthesia method used. It is important to keep in mind the patient’s comorbidities prior to selecting the anesthesia method and that the stone area and the Hounsfield unit are the important factors affecting the outcomes.

【 授权许可】

CC BY-NC-ND