Bulbul Emre, Ilki Fahri Yavuz, Yitgin Yasin, Ustun Fatih, Sezer Ali, Erten Ela, Yitgin Emine, Bedir Selahattin, Sarica Kemal
Department of Urology, Trabzon Vakfıkebir State Hospital, Trabzon, Turkey.
Department of Urology, Gulhane Training and Research Hospital, Ankara, Turkey.
Urol Int. 2025;109(2):189-196. doi: 10.1159/000543203. Epub 2024 Dec 19.
This study aimed to compare spinal and general anesthesia methods in endoscopic management of proximal ureteral stones with a particular emphasis on total anesthesia time.
A total of 246 adult patients undergoing ureteroscopic management for proximal ureteral stones between January 2021 and March 2023 were enrolled. Two different types of anesthesia, namely, spinal (group 1, n = 109) and general (group 2, n = 137) anesthesia, were applied during these procedures.
The mean total anesthesia time of group 1 was statistically significantly shorter than that of group 2 (61.4 ± 28.7 and 93.7 ± 29.2 min, respectively, p = 0.013). While 92.7% of patients in group 1 were stone free after the interventions, this value was 92% in group 2 (p = 0.828). There was no statistically significant difference between the two groups regarding peri- (p = 0.126) or postoperative (p = 0.284) complications.
Our results demonstrated well that both spinal and general anesthesia methods could be applied in a successful and safe manner in the endoscopic management of proximal ureteral stones. However, a shorter total anesthesia time under spinal anesthesia could be anticipated during endoscopic management of proximal ureteral stones.
本研究旨在比较在近端输尿管结石内镜治疗中脊髓麻醉和全身麻醉方法，特别关注总麻醉时间。
纳入2021年1月至2023年3月期间接受输尿管镜治疗近端输尿管结石的246例成年患者。在这些手术过程中应用了两种不同类型的麻醉，即脊髓麻醉（第1组，n = 109）和全身麻醉（第2组，n = 137）。
第1组的平均总麻醉时间在统计学上显著短于第2组（分别为61.4±28.7分钟和93.7±29.2分钟，p = 0.013）。干预后第1组92.7%的患者结石清除，第2组为92%（p = 0.828）。两组在围手术期（p = 0.126）或术后（p = 0.284）并发症方面无统计学显著差异。
我们的结果充分表明，脊髓麻醉和全身麻醉方法均可成功、安全地应用于近端输尿管结石的内镜治疗。然而，在近端输尿管结石的内镜治疗中，脊髓麻醉下的总麻醉时间可能更短。
