2016-01-01T00:00:00Z, Buldu, Ibrahim, Tepeler, Abdulkadir, KAYNAR, MEHMET, Karatag, Tuna, TOSUN, MUHAMMED, Umutoglu, Tarik, Tanriover, Hakan, Istanbulluoglu, Okan, TOSUN, MUHAMMED

Purpose: To compare the efficacy and safety of percutaneous nephrolithotomy (PNL) in the treatment of staghorn calculi (SC) under spinal anesthesia (SA) versus general anesthesia (GA).

2015-11-01T00:00:00Z, Armagan, Abdullah, Karatag, Tuna, Buldu, Ibrahim, TOSUN, MUHAMMED, Basibuyuk, Ismail, Istanbulluoglu, Mustafa Okan, Tepeler, Abdulkadir, TOSUN, MUHAMMED

To present a retrospective comparative clinical study of micropercutaneous nephrolithotomy (microperc) versus flexible ureterorenoscopy (F-URS) in treatment of moderate-size lower-pole stones (LPSs).

2015-06-01T00:00:00Z, Karatag, Tuna, Tepeler, Abdulkadir, Buldu, Ibrahim, AKÇAY, MUZAFFER, TOSUN, MUHAMMED, Istanbulluoglu, Mustafa Okan, Armagan, Abdullah, AKÇAY, MUZAFFER, TOSUN, MUHAMMED

The objective of the study was to present the clinical and operative effects of two types of anesthesia on micro-percutaneous nephrolithotomy (-microperc-). We retrospectively reviewed 116 patients who underwent microperc between August 2011 and September 2013. Patients were sorted into one of the two groups according to the type of anesthesia received: general (Group 1, n:53) or spinal (Group 2, n:63). Perioperative variables (age, stone size, location) and outcomes (operation time, success, complication rate) were evaluated and compared. Although there was a statistically significant difference in the mean age of patients (30.3 +/- A 22.1 vs. 45.8 +/- A 14.6, respectively, p < 0.001), mean body mass indexes were similar (p = 0.689). There was no substantial difference in terms of sizes and localizations of stones in the two groups (p = 0.970 and p = 0.795). While a significant difference was found in comparison of operative times (59.62 +/- A 32.56 vs. 40.98 +/- A 26.45 min, p < 0.001), there was no statistically significant difference in mean fluoroscopy times (124.92 +/- A 84.2 vs. 105.2 +/- A 61.0 s, p = 0.441). Stone-free rates were similar (90.5 % vs. 93.6 %, p = 0.297). We found no statistical differences between the two groups with respect to mean hemoglobin drop and hospitalization time (p = 0.015 and p = 0.917, respectively). The complication rates and analog pain scores were also similar (p = 0.543 and p = 0.365). Our results show that microperc is a feasible surgical modality in the treatment of kidney stone disease under both spinal and general anesthesia. Spinal anesthesia may be considered for patients at a high risk for general anesthesia, and also may be an alternative for patients who are concerned about and/or fearful of general anesthesia.