ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 31 Issue : 1 Year : 2024
 
Comparison of the efficacy of spinal and general anesthesia in retrograde intrarenal surgery [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 2023; 30(1): 1-6 | DOI: 10.5505/ias.2023.40316  

Comparison of the efficacy of spinal and general anesthesia in retrograde intrarenal surgery

Mehmet Özgür Yücel1, Ali Çift1, Can Benlioğlu1, Bedreddin Kalyenci1, Sait Sever1, Ferhat Çoban1, Hasan Sulhan1, Mehmet Duran2
1Department of Urology, Medical Faculty, Adiyaman University, Adiyaman, Türkiye
2Department of Anesthesia, Medical Faculty, Adiyaman University, Adiyaman, Türkiye

This study aimed to compare spinal anesthesia (SA) and general anesthesia (GA) in terms of success rate, efficacy, reliability, and cost among patients diagnosed with renal stones and undergoing retrograde intrarenal surgery (RIRS).
Between January 2018 and June 2021, 76 patients diagnosed with kidney stones and undergoing RIRS in our clinic were retrospectively evaluated. The groups were compared in terms of operative time, stone fragmentation time, intraoperative double-J stent requirement, length of hospital stay, requirement of additional procedures, stone-free rate, incidence of complications, and cost of anesthesia.
When the groups were compared, the mean age and American Society of Anesthesiologists stage of the patients were statistically higher in the SA group than in the GA group (P = 0.009, P = 0.024). No statistically significant difference was found between the groups in terms of operative time, stone fragmentation time, intraoperative double-J stent requirement, length of hospital stay, requirement of additional procedures, and stone-free rate (P > 0.05). The cost of anesthesia was significantly lower in the SA group (P < 0.001). No statistically significant difference was observed between the groups in terms of the incidence of complications (P > 0.05).
RIRS coupled with SA is a viable and effective option for treating renal stones. The success, stone-free, and complication rates are comparable to those observed in GA-administered RIRS. We prefer SA in patients with comorbidities and consider that it can be performed safely and successfully with both lower morbidity rates and much lower cost than GA.

Keywords: General anesthesia, renal stone, retrograde intrarenal surgery, spinal anesthesia


Mehmet Özgür Yücel, Ali Çift, Can Benlioğlu, Bedreddin Kalyenci, Sait Sever, Ferhat Çoban, Hasan Sulhan, Mehmet Duran. Comparison of the efficacy of spinal and general anesthesia in retrograde intrarenal surgery. Med J Islamic World Acad Sci. 2023; 30(1): 1-6

Corresponding Author: Ali Çift, Türkiye


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