We are analyzing https://link.springer.com/article/10.1007/s11934-023-01169-2.

Title:
Outcome of Mini-PCNL Under Loco-Regional Anesthesia: Outcomes of a Systematic Review | Current Urology Reports
Description:
Purpose of Review Miniaturized PCNL (mi-PCNL) for stone disease is performed under a general anesthesia. However, the role of loco-regional anesthesia in mi-PCNL and its outcomes are not well defined yet. Here, we review the outcomes and complications of loco-regional anesthesia for mi-PCNL. A Cochrane-style review was performed in accordance with the preferred reporting items for systematic reviews to evaluate the outcomes of loco-reginal anesthesia for URS in stone disease, including all English language articles from January 1980 and October 2021. Recent Findings Ten studies with a total of 1663 patients underwent mi-PCNL under loco-regional anesthesia. The stone-free rate (SFR) for mi-PCNL under neuro-axial anesthesia ranged between 88.3 and 93.6%, while it ranged between 85.7 and 93.3% for mi-PCNL under local anesthesia (LA). The conversion rate to another anesthesia modality was 0.5%. The complications ranged widely between 3.3 and 85.7%. The majority were Grade I-II complications and none of the patients had grade V complications. Summary Our review shows that mi-PCNL under loco-regional anesthesia is feasible with good SFR and a low risk of major complications. The conversion to general anesthesia is needed in a small minority, with the procedure itself being well tolerated and a big step towards establishing an ambulatory pathway for these patients.
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Keywords {🔍}

article, anesthesia, pubmed, google, scholar, nephrolithotomy, percutaneous, review, urology, complications, urol, locoregional, pcnl, mipcnl, local, systematic, somani, stone, content, outcomes, access, minimally, invasive, stones, surgery, privacy, cookies, disease, patients, rate, study, central, spinal, springer, information, publish, search, minipcnl, published, shahait, mucksavage, general, role, sfr, conversion, evidence, interest, minipercutaneous, endourol, author,

Topics {✒️}

yttrium-aluminum-garnet laser lithotripsy month download article/chapter neuro-axial anesthesia ranged staged mini-percutaneous nephrolithotomy current clinical opinions full article pdf loco-regional anesthesia privacy choices/manage cookies grade i-ii complications local infiltration anesthesia loco-regional anaesthesia english language articles real life encounter modified local anesthesia loco-reginal anesthesia mini percutaneous nephrolithotomy mini-percutaneous nephrolithotomy clemenceau medical center performing percutaneous nephrolithotomy percutaneous nephrolithotomy procedures randomized controlled study ambulatory percutaneous nephrolithotomy standard percutaneous nephrolithotomy global surgery european economic area preferred reporting items safe anesthetic method randomized trial evaluting complicated impacted calculi flexible nephroscopy combined bilateral single-session cost-effective compared ethics declarations conflict holds exclusive rights accepted manuscript version stone-free rate stone free rate conditions privacy policy anesthesiol res pract cochrane-style review review discuss throughly stone score–grading upper ureteral stones special interest • ultra-mini pcnl article shahait accepting optional cookies minimally invasive step minipercutaneous ureterolithotripsy surgical preparedness index

Questions {❓}

Is micro-percutaneous nephrolithotomy surgery technically feasible and efficient under spinal anesthesia?

Schema {🗺️}

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         description:Miniaturized PCNL (mi-PCNL) for stone disease is performed under a general anesthesia. However, the role of loco-regional anesthesia in mi-PCNL and its outcomes are not well defined yet. Here, we review the outcomes and complications of loco-regional anesthesia for mi-PCNL. A Cochrane-style review was performed in accordance with the preferred reporting items for systematic reviews to evaluate the outcomes of loco-reginal anesthesia for URS in stone disease, including all English language articles from January 1980 and October 2021. Ten studies with a total of 1663 patients underwent mi-PCNL under loco-regional anesthesia. The stone-free rate (SFR) for mi-PCNL under neuro-axial anesthesia ranged between 88.3 and 93.6%, while it ranged between 85.7 and 93.3% for mi-PCNL under local anesthesia (LA). The conversion rate to another anesthesia modality was 0.5%. The complications ranged widely between 3.3 and 85.7%. The majority were Grade I-II complications and none of the patients had grade V complications. Our review shows that mi-PCNL under loco-regional anesthesia is feasible with good SFR and a low risk of major complications. The conversion to general anesthesia is needed in a small minority, with the procedure itself being well tolerated and a big step towards establishing an ambulatory pathway for these patients.
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      description:Miniaturized PCNL (mi-PCNL) for stone disease is performed under a general anesthesia. However, the role of loco-regional anesthesia in mi-PCNL and its outcomes are not well defined yet. Here, we review the outcomes and complications of loco-regional anesthesia for mi-PCNL. A Cochrane-style review was performed in accordance with the preferred reporting items for systematic reviews to evaluate the outcomes of loco-reginal anesthesia for URS in stone disease, including all English language articles from January 1980 and October 2021. Ten studies with a total of 1663 patients underwent mi-PCNL under loco-regional anesthesia. The stone-free rate (SFR) for mi-PCNL under neuro-axial anesthesia ranged between 88.3 and 93.6%, while it ranged between 85.7 and 93.3% for mi-PCNL under local anesthesia (LA). The conversion rate to another anesthesia modality was 0.5%. The complications ranged widely between 3.3 and 85.7%. The majority were Grade I-II complications and none of the patients had grade V complications. Our review shows that mi-PCNL under loco-regional anesthesia is feasible with good SFR and a low risk of major complications. The conversion to general anesthesia is needed in a small minority, with the procedure itself being well tolerated and a big step towards establishing an ambulatory pathway for these patients.
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