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Erschienen in: Current Urology Reports 9/2023

07.07.2023

Outcome of Mini-PCNL Under Loco-Regional Anesthesia: Outcomes of a Systematic Review

verfasst von: Mohammed Shahait, Ala’a Farkouh, Philip Mucksavage, Bhaskar Somani

Erschienen in: Current Urology Reports | Ausgabe 9/2023

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Abstract

Purpose of Review

Miniaturized PCNL (mi-PCNL) for stone disease is performed under a general anesthesia. However, the role of loco-regional anesthesia in mi-PCNL and its outcomes are not well defined yet. Here, we review the outcomes and complications of loco-regional anesthesia for mi-PCNL. A Cochrane-style review was performed in accordance with the preferred reporting items for systematic reviews to evaluate the outcomes of loco-reginal anesthesia for URS in stone disease, including all English language articles from January 1980 and October 2021.

Recent Findings

Ten studies with a total of 1663 patients underwent mi-PCNL under loco-regional anesthesia. The stone-free rate (SFR) for mi-PCNL under neuro-axial anesthesia ranged between 88.3 and 93.6%, while it ranged between 85.7 and 93.3% for mi-PCNL under local anesthesia (LA). The conversion rate to another anesthesia modality was 0.5%. The complications ranged widely between 3.3 and 85.7%. The majority were Grade I-II complications and none of the patients had grade V complications.

Summary

Our review shows that mi-PCNL under loco-regional anesthesia is feasible with good SFR and a low risk of major complications. The conversion to general anesthesia is needed in a small minority, with the procedure itself being well tolerated and a big step towards establishing an ambulatory pathway for these patients.
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Metadaten
Titel
Outcome of Mini-PCNL Under Loco-Regional Anesthesia: Outcomes of a Systematic Review
verfasst von
Mohammed Shahait
Ala’a Farkouh
Philip Mucksavage
Bhaskar Somani
Publikationsdatum
07.07.2023
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 9/2023
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-023-01169-2

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