Assessment of Surgical Outcome and Complications between Spinal and General Anaesthesia for Patients Undergoing Percutaneous Nephrolithotomy: A Comparative Study

Spinal and General Anaesthesia for Patients Undergoing Percutaneous Nephrolithotomy

Abstract

Background: Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large renal calculi, staghorn calculi and calculi which fail treatment with extracorporeal shockwave lithotripsy and ureteral endoscopy. Hence; the present study was planned to compare the efficacy of spinal and general anaesthesia for patients undergoing percutaneous nephrolithotomy. Subjects and Methods: A total of 40 patients were included in the present study and were broadly divided into two study groups as follows: Group A: Included patients who underwent percutaneous nephrolithotomy under spinal anaesthesia; Group B: Included patients who underwent percutaneous nephrolithotomy under general anaesthesia. In both the study group patients, their respective type of anaesthesia was delivered. Percutaneous nephrolithotomy was carried out in all the patients. During the procedure, hemodynamic parameters were monitored. Patients were called for follow-up at regular intervals. Results: Non- significant results were obtained while comparing the occurrence of intraoperative complications in between subjects of group A and group B respectively. Mean hospital stay was 9 days for the subjects of group A and 13 days for the subjects of the group B. Significant results were obtained while comparing the mean hospital stay among both the study groups. However; while comparing the surgical outcome in between the two study groups, non- significant results were obtained. Conclusion: Both spinal and general anaesthesia can be used with equal effectiveness in patients undergoing percutaneous nephrolithotomy.