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Journals / Endoüroloji Bülteni / 2025 / Cilt: 17 Sayı: 3

Comparison of Spinal and General Anesthesia Outcomes in Geriatric Patients Undergoing Retrograde Intrarenal Surgery

Retrograd İntrarenal Cerrahi Yapılan Geriatrik Hastalarda Spinal ve Genel Anestezi Sonuçlarının Karşılaştırılması

Demirhan Örsan Demir(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI)0000-0001-8369-0059
Salih Bürlukkara(KARABÜK ÜNİVERSİTESİ)0000-0002-2149-0163
Turgay Kaçan(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-7211-8433
Ali Kaan Yıldız(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-0999-9872
Yusuf Gökkurt(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0003-4321-962X
Ömer Furkan Erbay(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-8117-6176
Tolga Karakan(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-6694-8369
Pages
147–156
Publication Date
2025-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: SA may be a viable alternative to GA in geriatric patients undergoing RIRS, as it provides favorable outcomes in postoperative pain control and may protect patients from certain potential morbidities associated with GA.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aims to investigate the feasibility of spinal anesthesia (SA) in retrograde intrarenal surgery (RIRS) among patients aged over 65 years, and to compare the effectiveness of spinal and general anesthesia (GA) techniques on postoperative pain.
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Key Findings & Data:Material and Methods: A retrospective analysis was conducted on 281 patients who underwent RIRS.
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Conclusion & Impact:Conclusion: SA may be a viable alternative to GA in geriatric patients undergoing RIRS, as it provides favorable outcomes in postoperative pain control and may protect patients from certain potential morbidities associated with GA.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:genel anestezi · postoperatif ağrı · rejyonel anestezi

Abstract

Objective: This study aims to investigate the feasibility of spinal anesthesia (SA) in retrograde intrarenal surgery (RIRS) among patients aged over 65 years, and to compare the effectiveness of spinal and general anesthesia (GA) techniques on postoperative pain. Material and Methods: A retrospective analysis was conducted on 281 patients who underwent RIRS. Patients were divided into two groups: those who received SA (Group 1) and those who received GA (Group 2). Perioperative and postoperative outcomes of RIRS were compared between the groups. Additionally, postoperative pain levels in both the early and late periods were assessed using the Visual Analog Scale (VAS). Results: Group 1, which received SA, consisted of 166 patients, while Group 2, which received GA, included 115 patients. There was no statistically significant difference between the two groups in the demographic data and stone characteristics. The complication rates, classified according to the modified Clavien-Dindo system, were comparable between the two anesthesia techniques. The mean early postoperative VAS score was 2.26 ± 0.99 in Group 1 and 3.58 ± 1.13 in Group 2, with the difference being statistically significant (p < 0.001). However, there was no statistically significant difference in late postoperative VAS scores between the groups (p = 0.362). Postoperative analgesic requirement was observed in 10.24% of patients in Group 1, compared to 27.82% in Group 2, and this difference was statistically significant (p < 0.001). Conclusion: SA may be a viable alternative to GA in geriatric patients undergoing RIRS, as it provides favorable outcomes in postoperative pain control and may protect patients from certain potential morbidities associated with GA.

Özet

Amaç: Bu çalışma 65 yaş üstü hastalarda spinal anestezinin (SA) retrograd intrarenal cerrahi’ de (RIRS) uygulanabilirliğini araştırmayı ve ayrıca spinal ve genel anestezi (GA) tekniklerinin postoperatif ağrı üzerine etkinliğini karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: RIRS uygulanan 281 hastanın retrospektif incelemesi yapıldı. Hastalar SA uygulanan (Grup 1) ve GA uygulananlar (Grup 2) olmak üzere 2 gruba ayrıldı. Grupların perioperatif ve postoperatif RIRS sonuçları ve komplikasyon oranları karşılaştırıldı. Ayrıca Vizüel Analog Scale (VAS) kullanılarak postoperatif erken ve geç dönem ağrı düzeyleri karşılaştırıldı. Bulgular: SA uygulanan Grup 1 166 hastadan, GA uygulanan Grup 2 115 hastadan oluşuyordu. Grupların demografik verileri ve taş özellikleri benzer olarak bulundu. Her 2 anestezi tekniğinde modifiye Clavien-Dindo komplikasyon oranları benzerdi. Gruplar arasında operasyon süresi (p = 0,344) ve hastanede yatış süresi (p = 0,876) açısından fark gözlenmedi. Grup 1’ de erken dönem ortalama VAS skoru 2,26 ± 0,99 iken Grup 2’ de 3,58 ± 1,13 olarak bulundu ve aradaki fark istatistiksel olarak anlamlıydı (p < 0,001). Geç dönem VAS skorları arasında istatistiksel anlamlı fark gözlenmedi (p = 0,362). Grup 1’ deki hastaların %10,24’ ünde postoperatif analjezi ihtiyacı olurken, Grup 2’ deki hastaların %27,82 ‘sinin postoperatif analjezi ihtiyacı olmuştur ve aradaki fark istatistiksel olarak anlamlıydı (p < 0,001). Sonuç: Spinal anestezi postoperatif ağrı kontrolünde olumlu sonuçlar vermesi ve hastaları genel anestezinin olası bazı morbidetelerinden koruması nedeniyle RIRS yapılacak geriatrik hastalarda genel anesteziye alternatif bir teknik olabilir.

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Cite This Article

Demir, D. Ö., Bürlukkara, S., Kaçan, T., Yıldız, A. K., Gökkurt, Y., Erbay, Ö. F., Karakan, T. (2025). Comparison of Spinal and General Anesthesia Outcomes in Geriatric Patients Undergoing Retrograde Intrarenal Surgery. Endoüroloji Bülteni, Cilt: 17 Sayı: 3, 147–156. https://doi.org/10.54233/endourolbull-1732746

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