Retrograd İntrarenal Cerrahide Genel Anestezi ve Spinal Anestezi Karşılaştırması: Prospektif Randomize Bir Çalışma

Abstract

Objective: The aim of this study is to compare the intraoperative parameters, postoperative pain, surgical parameters, complication rates, and stone-free rates in patients who underwent retrograde intrarenal surgery (RIRS) under spinal anaesthesia (SA) versus general anaesthesia (GA). Material and Methods: A total of 100 patients treated with RIRS under SA (50) and GA (50) for renal stones were compared prospectively. The operative and postoperative outcomes of both groups were then analysed prospectively. Results: The demographic data was comparable between the two groups in terms of patient age, gender, and American Society of Anaesthesiologist (ASA) score as well as the size, lateralization, and location of the stones. And also, the mean operative times, fluoroscopy times, hospitalization times, and stone free rates were similar between the two groups. Postoperative Visual Analogue Scale (VAS) scores-measured only two hours after surgery-and rescue analgesia need were found statistically significantly lower in the SA group when compared with the GA group. Minor complication (Clavien 1-3) rates were 18% and 12% for the SA and GA group, respectively (p > 0.05). Conclusion: RIRS with SA can be performed safely and effectively to manage kidney stones, producing the same stone free rate (SFR) and complication rates when compared to GA.