Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy: From the View of an Anesthesiologist

Esra Ozayar, Handan Gulec, Merve Bayraktaroglu, Zehra Baykal Tutal, Aysun Kurtay, Munire Babayigit, Asim Ozayar, Eyup Horasanli

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Abstract

Purpose: To determine the differences among the hemodynamics, neuroendocrine stress response (NESR), and postoperative visual analogue scale (VAS) scores of pain between the procedures of retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PNL) for lower pole kidney stones. Patients and Methods: Fifty-six patients undergoing RIRS and PNL with lower puncture approach, under general anesthesia, were prospectively enrolled in our study. Perioperative blood pressure (systolic, diastolic, and mean), heart rate, and peripheral oxygen saturation (SpO2) values were recorded at intervals. Arterial blood gas (ABG) and blood glucose, serum insulin, and cortisol levels as stress response markers were analyzed in the perioperative period. Postoperative VAS scores were recorded at 30 minutes and 2, 4, 6, and 12 hours after extubation. Duration of surgery, stone sizes, and stone-free rates (SFRs) were noted. Results: SFRs were 93.3% in the PNL group (28/30 patients) and 88.5% in the RIRS group (23/26 patients) (p = 0.52). There was no statistical difference between the hemodynamics of both groups. Perioperative ABGs and NESRs were similar between groups (p > 0.05). Postoperative VAS scores and analgesic consumptions were also similar between groups (p > 0.05). Duration of surgery was significantly shorter in the RIRS group (p = 0.001). Stone size was significantly higher in the PNL group (p = 0.013). Conclusion: Although the PNL is assumed to be more invasive than the RIRS procedure among urologists and anesthesiologists, both techniques may have similar perioperative outcomes in terms of hemodynamics, ABG, NESR, and pain scores in the management of lower pole stones with lower pole approach.

Original languageEnglish (US)
Pages (from-to)184-188
Number of pages5
JournalJournal of Endourology
Volume30
Issue number2
DOIs
StatePublished - Feb 1 2016

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Percutaneous Nephrostomy
Hemodynamics
Visual Analog Scale
Gases
Perioperative Period
Kidney Calculi
Pain Measurement
Anesthesiologists
Punctures
General Anesthesia
Analgesics
Hydrocortisone
Blood Glucose
Heart Rate
Insulin
Oxygen
Blood Pressure
Pain
Serum

ASJC Scopus subject areas

  • Urology

Cite this

Ozayar, E., Gulec, H., Bayraktaroglu, M., Tutal, Z. B., Kurtay, A., Babayigit, M., ... Horasanli, E. (2016). Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy: From the View of an Anesthesiologist. Journal of Endourology, 30(2), 184-188. https://doi.org/10.1089/end.2015.0517

Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy : From the View of an Anesthesiologist. / Ozayar, Esra; Gulec, Handan; Bayraktaroglu, Merve; Tutal, Zehra Baykal; Kurtay, Aysun; Babayigit, Munire; Ozayar, Asim; Horasanli, Eyup.

In: Journal of Endourology, Vol. 30, No. 2, 01.02.2016, p. 184-188.

Research output: Contribution to journalArticle

Ozayar, E, Gulec, H, Bayraktaroglu, M, Tutal, ZB, Kurtay, A, Babayigit, M, Ozayar, A & Horasanli, E 2016, 'Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy: From the View of an Anesthesiologist', Journal of Endourology, vol. 30, no. 2, pp. 184-188. https://doi.org/10.1089/end.2015.0517
Ozayar, Esra ; Gulec, Handan ; Bayraktaroglu, Merve ; Tutal, Zehra Baykal ; Kurtay, Aysun ; Babayigit, Munire ; Ozayar, Asim ; Horasanli, Eyup. / Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy : From the View of an Anesthesiologist. In: Journal of Endourology. 2016 ; Vol. 30, No. 2. pp. 184-188.
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AU - Tutal, Zehra Baykal

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N2 - Purpose: To determine the differences among the hemodynamics, neuroendocrine stress response (NESR), and postoperative visual analogue scale (VAS) scores of pain between the procedures of retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PNL) for lower pole kidney stones. Patients and Methods: Fifty-six patients undergoing RIRS and PNL with lower puncture approach, under general anesthesia, were prospectively enrolled in our study. Perioperative blood pressure (systolic, diastolic, and mean), heart rate, and peripheral oxygen saturation (SpO2) values were recorded at intervals. Arterial blood gas (ABG) and blood glucose, serum insulin, and cortisol levels as stress response markers were analyzed in the perioperative period. Postoperative VAS scores were recorded at 30 minutes and 2, 4, 6, and 12 hours after extubation. Duration of surgery, stone sizes, and stone-free rates (SFRs) were noted. Results: SFRs were 93.3% in the PNL group (28/30 patients) and 88.5% in the RIRS group (23/26 patients) (p = 0.52). There was no statistical difference between the hemodynamics of both groups. Perioperative ABGs and NESRs were similar between groups (p > 0.05). Postoperative VAS scores and analgesic consumptions were also similar between groups (p > 0.05). Duration of surgery was significantly shorter in the RIRS group (p = 0.001). Stone size was significantly higher in the PNL group (p = 0.013). Conclusion: Although the PNL is assumed to be more invasive than the RIRS procedure among urologists and anesthesiologists, both techniques may have similar perioperative outcomes in terms of hemodynamics, ABG, NESR, and pain scores in the management of lower pole stones with lower pole approach.

AB - Purpose: To determine the differences among the hemodynamics, neuroendocrine stress response (NESR), and postoperative visual analogue scale (VAS) scores of pain between the procedures of retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PNL) for lower pole kidney stones. Patients and Methods: Fifty-six patients undergoing RIRS and PNL with lower puncture approach, under general anesthesia, were prospectively enrolled in our study. Perioperative blood pressure (systolic, diastolic, and mean), heart rate, and peripheral oxygen saturation (SpO2) values were recorded at intervals. Arterial blood gas (ABG) and blood glucose, serum insulin, and cortisol levels as stress response markers were analyzed in the perioperative period. Postoperative VAS scores were recorded at 30 minutes and 2, 4, 6, and 12 hours after extubation. Duration of surgery, stone sizes, and stone-free rates (SFRs) were noted. Results: SFRs were 93.3% in the PNL group (28/30 patients) and 88.5% in the RIRS group (23/26 patients) (p = 0.52). There was no statistical difference between the hemodynamics of both groups. Perioperative ABGs and NESRs were similar between groups (p > 0.05). Postoperative VAS scores and analgesic consumptions were also similar between groups (p > 0.05). Duration of surgery was significantly shorter in the RIRS group (p = 0.001). Stone size was significantly higher in the PNL group (p = 0.013). Conclusion: Although the PNL is assumed to be more invasive than the RIRS procedure among urologists and anesthesiologists, both techniques may have similar perioperative outcomes in terms of hemodynamics, ABG, NESR, and pain scores in the management of lower pole stones with lower pole approach.

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