The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males
AbstractObjective: To compare the anaesthesia methods in percutaneous nephrolithotomy in terms of safety and effectiveness in elderly men.Methods: Elderly male patients who had undergone percutaneous nephrolithotomy were screened retrospectively and divided into 2 groups: percutaneous nephrolithotom...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2023.2238185 |
| _version_ | 1797302179707486208 |
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| author | Sedat Oner Efe Onen Volkan Caglayan Sinan Avci Abdullah Erdogan Metin Kilic Serra Topal |
| author_facet | Sedat Oner Efe Onen Volkan Caglayan Sinan Avci Abdullah Erdogan Metin Kilic Serra Topal |
| author_sort | Sedat Oner |
| collection | DOAJ |
| description | AbstractObjective: To compare the anaesthesia methods in percutaneous nephrolithotomy in terms of safety and effectiveness in elderly men.Methods: Elderly male patients who had undergone percutaneous nephrolithotomy were screened retrospectively and divided into 2 groups: percutaneous nephrolithotomy under combined spino-epidural anaesthesia (Group CSEA, n = 70) and percutaneous nephrolithotomy under general anaesthesia (Group GA, n = 114). Preoperative, perioperative and postoperative outcome measures were examined.Results: Between the two groups, there was no statistically significant difference in terms of stone burden, stone location, presence of the previous operation in the same kidney, presence of staghorn stones, mean American Society of Anesthesiologists scores and presence of abnormal kidney (p > 0.05). The mean duration time in the operation room and post-anaesthesia care unit (PACU) was statistically shorter in the Group CSEA (p < 0.01). There was no significant difference between the two groups in terms of Clavien Grade 1 and above complications (p > 0.05). Stone-free rates and success rates were similar in both groups (p = 0.133 and p = 0.273, respectively).Conclusion: The type of anaesthesia does not affect the success rate and complication rate of percutaneous nephrolithotomy in elderly male patients. Patients who underwent percutaneous nephrolithotomy under CSEA needed less analgesic injection during the postoperative period. CSEA can shorten the time a patient spends in the operating room and PACU, which provides more effective use of operation room working hours. |
| first_indexed | 2024-03-07T23:32:05Z |
| format | Article |
| id | doaj.art-f2eb89be8dfe4f91bf7f548e38d2fd56 |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-03-07T23:32:05Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-f2eb89be8dfe4f91bf7f548e38d2fd562024-02-20T11:58:25ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155210.1080/07853890.2023.2238185The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly malesSedat Oner0Efe Onen1Volkan Caglayan2Sinan Avci3Abdullah Erdogan4Metin Kilic5Serra Topal6Department of Urology, University of Health Sciences Bursa City Hospital, Bursa, TurkeyDepartment of Urology, University of Health Sciences Bursa City Hospital, Bursa, TurkeyDepartment of Urology, University of Health Sciences Bursa City Hospital, Bursa, TurkeyDepartment of Urology, University of Health Sciences Bursa City Hospital, Bursa, TurkeyDepartment of Urology, University of Health Sciences Bursa City Hospital, Bursa, TurkeyDepartment of Urology, University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, TurkeyDepartment of Anesthesiology, University of Health Sciences Bursa City Hospital, Bursa, TurkeyAbstractObjective: To compare the anaesthesia methods in percutaneous nephrolithotomy in terms of safety and effectiveness in elderly men.Methods: Elderly male patients who had undergone percutaneous nephrolithotomy were screened retrospectively and divided into 2 groups: percutaneous nephrolithotomy under combined spino-epidural anaesthesia (Group CSEA, n = 70) and percutaneous nephrolithotomy under general anaesthesia (Group GA, n = 114). Preoperative, perioperative and postoperative outcome measures were examined.Results: Between the two groups, there was no statistically significant difference in terms of stone burden, stone location, presence of the previous operation in the same kidney, presence of staghorn stones, mean American Society of Anesthesiologists scores and presence of abnormal kidney (p > 0.05). The mean duration time in the operation room and post-anaesthesia care unit (PACU) was statistically shorter in the Group CSEA (p < 0.01). There was no significant difference between the two groups in terms of Clavien Grade 1 and above complications (p > 0.05). Stone-free rates and success rates were similar in both groups (p = 0.133 and p = 0.273, respectively).Conclusion: The type of anaesthesia does not affect the success rate and complication rate of percutaneous nephrolithotomy in elderly male patients. Patients who underwent percutaneous nephrolithotomy under CSEA needed less analgesic injection during the postoperative period. CSEA can shorten the time a patient spends in the operating room and PACU, which provides more effective use of operation room working hours.https://www.tandfonline.com/doi/10.1080/07853890.2023.2238185Elderly menkidney calculipercutaneous nephrolithotomyspino-epidural anesthesia |
| spellingShingle | Sedat Oner Efe Onen Volkan Caglayan Sinan Avci Abdullah Erdogan Metin Kilic Serra Topal The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males Annals of Medicine Elderly men kidney calculi percutaneous nephrolithotomy spino-epidural anesthesia |
| title | The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males |
| title_full | The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males |
| title_fullStr | The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males |
| title_full_unstemmed | The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males |
| title_short | The effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males |
| title_sort | effect of anesthesia type on the outcomes of percutaneous nephrolithotomy in elderly males |
| topic | Elderly men kidney calculi percutaneous nephrolithotomy spino-epidural anesthesia |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2023.2238185 |
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