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

Mohammed Shahait1, Ala'a Farkouh2, Philip Mucksavage3

  • 1Department of Surgery, Clemenceau Medical Center, Dubai, UAE.

Current Urology Reports
|July 7, 2023
PubMed
Abstract

Insights

Loco-regional anesthesia is a feasible option for mini-percutaneous nephrolithotomy (mi-PCNL), offering good stone-free rates and low major complication risks. This approach supports the development of ambulatory pathways for kidney stone treatment.

Area of Science:

  • Urology
  • Anesthesiology
  • Nephrology

Background:

  • Miniaturized percutaneous nephrolithotomy (mi-PCNL) is typically performed under general anesthesia.
  • The efficacy and safety of loco-regional anesthesia for mi-PCNL require further definition.

Conclusions:

  • mi-PCNL under loco-regional anesthesia is a viable procedure with favorable stone-free rates and minimal major complications.
  • This anesthesia approach is well-tolerated, with rare conversions to general anesthesia, paving the way for ambulatory mi-PCNL.
Keywords:
Loco-regional anesthesiaMiniaturizedPCNL

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