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World Journal of Urology

, Volume 29, Issue 6, pp 773–777 | Cite as

Minimally invasive percutaneous nephrolithotomy under peritubal local infiltration anesthesia

  • Yong ChenEmail author
  • Zhansong Zhou
  • Wei Sun
  • Tao Zhao
  • Hong Wang
Original Article

Abstract

Objectives

To evaluate the feasibility and safety of performing minimally invasive percutaneous nephrolithotomy (MPCNL) under peritubal local infiltration anesthesia.

Patients and methods

From December 2007 to December 2009, 88 patients with upper urinary calculi underwent MPCNL with ultrasonography (US)-guided renal access in the lateral decubitus flank position under peritubal local infiltration anesthesia. All patients were informed about the possibility of experiencing short periods of discomfort or pain and completed visual analog pain scale (VAS) questionnaires during the intra-operation and at 4, 24, and 48 h postoperatively. Postoperative narcotic usage was recorded at 24 and 48 h postoperatively.

Results

Eighty-two patients (93.2%, 82/88) underwent MPCNL under local anesthetic infiltration, 6 patients were converted to general anesthesia (2.2%, 2/88) or epidural anesthesia (4.4%, 4/88) because of serious pain or discomfort. The average VAS scores intra-operation and at 4, 24, and 48 h postoperatively were 3.1, 3.0, 2.4, and 2.1, respectively. Six patients (7.3%, 6/82) and 2 patients (2.4%, 2/82) were administered pethidine (75 mg) at 24 and 48 h postoperatively, respectively. The stone clearance rate was 88.3% (91/103) before discharge with MPCNL mono-therapy. The mean operative time was 89 min (range 56–145 min).

Conclusion

MPCNL under peritubal local infiltration anesthesia is well-tolerated and feasible alternative to the same procedure under general or epidural anesthesia.

Keywords

Percutaneous nephrolithotomy Pain Local anesthesia 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Yong Chen
    • 1
    Email author
  • Zhansong Zhou
    • 2
  • Wei Sun
    • 1
  • Tao Zhao
    • 1
  • Hong Wang
    • 1
  1. 1.Department of UrologyFuling Central HospitalChongqingPeoples’ Republic of China
  2. 2.Urological CenterSouthwest Hospital, Third Military Medical UniversityChongqingPeoples’ Republic of China

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