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Comparison of the clinical efficacy of sonography-guided percutaneous nephrolithotomy (PCNL) under local and general anesthesia.

作者信息

Wang Xunbao, Ye Qiongxiang, Liu Xinguo, Chen Jinjun, Wang Zhiyong, Xu Wanfeng, Zhao Pengfei, Tao Baozhou

机构信息

Department of Urology, Renmin Hospital, Susong, Anhui Province, China.

出版信息

J Int Med Res. 2019 Sep;47(9):4143-4150. doi: 10.1177/0300060519859767. Epub 2019 Jul 10.

DOI:10.1177/0300060519859767
PMID:31291811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6753540/
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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/5ec89153674a/10.1177_0300060519859767-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/51589b2d23ed/10.1177_0300060519859767-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/06e8882c2985/10.1177_0300060519859767-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/5ec89153674a/10.1177_0300060519859767-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/51589b2d23ed/10.1177_0300060519859767-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/06e8882c2985/10.1177_0300060519859767-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755f/6753540/5ec89153674a/10.1177_0300060519859767-fig3.jpg

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Arab J Urol. 2017 Nov 12;15(4):294-298. doi: 10.1016/j.aju.2017.10.003. eCollection 2017 Dec.
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