Performing percutaneous nephrolithotomy under modified local anesthesia
ObjectiveThis pilot study aimed to assess the practicability and effectiveness of percutaneous nephrolithotomy (PCNL) with vacuum-assisted nephrostomy sheaths for patients under modified local anesthesia (m-LA).MethodsPCNL with a vacuum-assisted nephrostomy sheath under m-LA was performed in 83 pati...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.922158/full |
| _version_ | 1797996636553609216 |
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| author | Yue Yu Jieping Hu Wei Liu Zhixiong Peng Mengzhen Wang Xiaochen Zhou Haibo Xi |
| author_facet | Yue Yu Jieping Hu Wei Liu Zhixiong Peng Mengzhen Wang Xiaochen Zhou Haibo Xi |
| author_sort | Yue Yu |
| collection | DOAJ |
| description | ObjectiveThis pilot study aimed to assess the practicability and effectiveness of percutaneous nephrolithotomy (PCNL) with vacuum-assisted nephrostomy sheaths for patients under modified local anesthesia (m-LA).MethodsPCNL with a vacuum-assisted nephrostomy sheath under m-LA was performed in 83 patients between November 2020 and May 2021. An 18F or 20F ClearPetra Nephrostomy Sheath connected vacuum aspiration was used in surgery to keep low pressure in the renal pelvis. For LA, lidocaine and ropivacaine hydrochloride were 1:1 mixed and instilled under ultrasound guidance through the percutaneous nephrolithotomy channel directed toward the design calix. Demographic characteristics, stone characteristics, visual analogue scale (VAS) score, vital signs, operation time, complications, and stone clear rate were recorded and analyzed.ResultsAll operations were completed. The mean VAS score was 3.9 ± 1.0. The mean operation time was 55.1 ± 23.6 min. The changes for systolic blood pressure, diastolic blood pressure, and heart rate were 3 ± 21 mmHg, 1 ± 14 mmHg, and −6 ± 14 beats/min, respectively. The change for hemoglobin was −10.7 ± 10.9 g/L. The change for C-reactive protein was 5.39 ± 43.1 mg/L. The total stone-free rate was 69.9% (93.8% for simple stones and 54.9% for complex stones).ConclusionPerforming PCNL with vacuum-assisted nephrostomy sheaths under modified local anesthesia under ultrasound guidance was found to be strongly practical and effective. |
| first_indexed | 2024-04-11T10:20:32Z |
| format | Article |
| id | doaj.art-6a1147573e5f42dd9297d250b23eb866 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T10:20:32Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-6a1147573e5f42dd9297d250b23eb8662022-12-22T04:29:46ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.922158922158Performing percutaneous nephrolithotomy under modified local anesthesiaYue Yu0Jieping Hu1Wei Liu2Zhixiong Peng3Mengzhen Wang4Xiaochen Zhou5Haibo Xi6Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Surgery, Traditional Chinese Medicine Hospital of Yichun City, Yichun, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaObjectiveThis pilot study aimed to assess the practicability and effectiveness of percutaneous nephrolithotomy (PCNL) with vacuum-assisted nephrostomy sheaths for patients under modified local anesthesia (m-LA).MethodsPCNL with a vacuum-assisted nephrostomy sheath under m-LA was performed in 83 patients between November 2020 and May 2021. An 18F or 20F ClearPetra Nephrostomy Sheath connected vacuum aspiration was used in surgery to keep low pressure in the renal pelvis. For LA, lidocaine and ropivacaine hydrochloride were 1:1 mixed and instilled under ultrasound guidance through the percutaneous nephrolithotomy channel directed toward the design calix. Demographic characteristics, stone characteristics, visual analogue scale (VAS) score, vital signs, operation time, complications, and stone clear rate were recorded and analyzed.ResultsAll operations were completed. The mean VAS score was 3.9 ± 1.0. The mean operation time was 55.1 ± 23.6 min. The changes for systolic blood pressure, diastolic blood pressure, and heart rate were 3 ± 21 mmHg, 1 ± 14 mmHg, and −6 ± 14 beats/min, respectively. The change for hemoglobin was −10.7 ± 10.9 g/L. The change for C-reactive protein was 5.39 ± 43.1 mg/L. The total stone-free rate was 69.9% (93.8% for simple stones and 54.9% for complex stones).ConclusionPerforming PCNL with vacuum-assisted nephrostomy sheaths under modified local anesthesia under ultrasound guidance was found to be strongly practical and effective.https://www.frontiersin.org/articles/10.3389/fsurg.2022.922158/fullmodified local anesthesiapercutaneous nephrolithotomy (PCNL)ASA—American Society of Anesthesiologistsphysical statusrenal stone |
| spellingShingle | Yue Yu Jieping Hu Wei Liu Zhixiong Peng Mengzhen Wang Xiaochen Zhou Haibo Xi Performing percutaneous nephrolithotomy under modified local anesthesia Frontiers in Surgery modified local anesthesia percutaneous nephrolithotomy (PCNL) ASA—American Society of Anesthesiologists physical status renal stone |
| title | Performing percutaneous nephrolithotomy under modified local anesthesia |
| title_full | Performing percutaneous nephrolithotomy under modified local anesthesia |
| title_fullStr | Performing percutaneous nephrolithotomy under modified local anesthesia |
| title_full_unstemmed | Performing percutaneous nephrolithotomy under modified local anesthesia |
| title_short | Performing percutaneous nephrolithotomy under modified local anesthesia |
| title_sort | performing percutaneous nephrolithotomy under modified local anesthesia |
| topic | modified local anesthesia percutaneous nephrolithotomy (PCNL) ASA—American Society of Anesthesiologists physical status renal stone |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.922158/full |
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