Comparison of Surgical Outcome and Complications Between Spinal and General Anaesthesia for Patients Undergoing Percutaneous Nephrolithotomy
Sidharth Sraban Routray,
Debadas Biswal,
Khagaswar Raut,
Kamalakanta Pradhan,
Debasis Mishra,
Jagannath Mishra
Issue:
Volume 3, Issue 1, January 2015
Pages:
1-5
Received:
18 February 2015
Accepted:
10 March 2015
Published:
19 March 2015
DOI:
10.11648/j.ja.20150301.11
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Abstract: Background: Percutaneous nephrolithotomy (PCNL) now a days is the treatment of choice for most renal stones, staghorn calculi and stones resistant to shock wave lithotripsy. Mostly PCNL is done under general anesthesia. However, it can be done under spinal anaesthesia which can have advantages like easier technique, faster discharge, reduced cost and recovery time and most important patient satisfaction. Aim: Unfortunately, few research studies have been conducted to compare regional and general anesthesia with respect to operative parameters. In the present study, we compared surgical outcomes and complications between percutaneous nephrolithotomy under spinal and general anesthesia. Materials and Method: 60 patients were divided into two groups of 30 each (GA/SA), who were undergone percutaneous nephrolithotomy under spinal and general anaesthesia. Patient’s general characteristics, stone features, surgical outcomes, and complications were compared between the two groups. All qualitative data and quantitative data were analyzed by chi square and student’s t test respectively. P value <0.05 was considered statistically significant. Result: The two groups were similar in terms of mean age and stone size, number, and type. Furthermore, they did not differ significantly in terms of general characteristics, treatment outcomes or complications excluding postoperative fever. However, mean hospital stay was significantly shorter in the regional anesthesia group than in the general anesthesia group (8.2±1.6 days vs. 12.5±2.8) days, respectively, (p=0.0001), Also, the postoperative fever rate was significantly higher in the general anesthesia group (82.5% vs 50%) respectively. (p=0.012). The treatment cost was 30$ in GA group and 10 $ in spinal group which was statistically significant. Also analgesia requirement on day 1 was more in GA group than SA group which was statistically significant. Conclusion: Regional anaesthesia is as effective as general anaesthlesia during percutaneous nephrolithotomy and is associated with shorter hospital stays, lower rates of postoperative fever, lower analgesic requirement and treatment cost.
Abstract: Background: Percutaneous nephrolithotomy (PCNL) now a days is the treatment of choice for most renal stones, staghorn calculi and stones resistant to shock wave lithotripsy. Mostly PCNL is done under general anesthesia. However, it can be done under spinal anaesthesia which can have advantages like easier technique, faster discharge, reduced cost a...
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