1. Comparison of the clinical efficacy of sonography-guided percutaneous nephrolithotomy (PCNL) under local and general anesthesia
- Author
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Xunbao Wang, Pengfei Zhao, Wanfeng Xu, Qiongxiang Ye, Zhiyong Wang, Baozhou Tao, Jinjun Chen, and Xinguo Liu
- Subjects
Adult ,Male ,Medicine (General) ,Blood transfusion ,upper urinary tract ,Clinical Research Reports ,Visual analogue scale ,medicine.medical_treatment ,residual calculi ,030232 urology & nephrology ,Nephrolithotomy, Percutaneous ,Anesthesia, General ,blood transfusion ,Biochemistry ,visual analogue scale ,Kidney Calculi ,03 medical and health sciences ,0302 clinical medicine ,R5-920 ,Humans ,Percutaneous nephrolithotomy ,Medicine ,pain ,Clinical efficacy ,Aged ,Ultrasonography ,Upper urinary tract ,business.industry ,Biochemistry (medical) ,Cell Biology ,General Medicine ,Middle Aged ,Treatment Outcome ,030220 oncology & carcinogenesis ,Anesthesia ,Local infiltration ,Female ,local infiltration anesthesia ,business ,Anesthesia, Local - Abstract
Objective This study aimed to compare the effect of percutaneous nephrolithotomy (PCNL) under local infiltration anesthesia (PCNL-LIA) and general anesthesia (PCNL-GA) to treat upper urinary tract calculi on clinical application values. Methods Patients were randomly divided into the PCNL-LIA (16 patients) and PCNL-GA (20 patients) groups. Data on safety, cost, complications, rate of residual calculi, and prognosis were compared. Results The mean operation time in the PCNL-LIA group was less than that in PCNL-GA group (100±7.7 versus 120±9.0 minutes). The mean length of hospital stay in the PCNL-LIA group was shorter than that in the PCNL-GA group (6.9±0.5 versus 10.5±1.2 days). The rate of patients who required blood transfusion because of blood loss during or after surgery was less in the PCNL-LIN group than in the PCNL-GA group (13% versus 40%). The intervention rate in the PCNL-GA group was higher than that in the PCNL-LIA group. Visual analogue pain scale assessment showed that the PCNL-LIA group showed slightly more pain than the PCNL-GA group. Conclusion PCNL-LIA is safer, faster, and more convenient, and it also provides the benefits of a lower rate of blood loss and complications, lower cost, faster recovery, and shorter hospital stay compared with PCNL-GA.
- Published
- 2019