Research advance on the perioperative management of flexible ureteral lithotripsy under local anesthesia
10.3969/j.issn.1009-8291.2025.03.017
- VernacularTitle:局部麻醉下输尿管软镜碎石术围手术期管理的研究进展
- Author:
Chaolin YU
1
;
Pingbo XIE
1
;
Jiaxi PENG
1
;
Hongqing ZHOU
1
;
Yonghua LUO
1
;
Zihan DAI
1
;
Chuan LIU
1
Author Information
1. Department of Urology, The Affiliated Qujing Hospital of Kunming Medical University, Qujing 655000, China
- Publication Type:Journal Article
- Keywords:
urinary calculi;
flexible ureteral lithotripsy;
local anesthesia;
general anesthesia;
perioperative management;
enhanced recovery after surgery;
visual analogue scale;
high-risk patients;
stone-free rate
- From:
Journal of Modern Urology
2025;30(3):266-271
- CountryChina
- Language:Chinese
-
Abstract:
Flexible ureteral lithotripsy (FURL) under general anesthesia (GA) is the dominant method in the treatment of renal and upper ureteral calculi，but some patients cannot tolerate GA.In recent years，there has been a growing interest in the use of local anesthesia (LA) as a safe and effective alternative.And it is also an option for patients who have calculi ≤20 mm with high fragility，lower CT value and better compatibility.Before surgery，it is important to conduct relevant examinations，evaluate the status of patients，prevent infections，and indwell ureteral stents.During surgery，lithotomy position，scissors position，prone leg position and other positions should be selected according to the specific conditions of patients.LA drugs should be used to control physiological pain and relieve psychological anxiety.Patients' breathing state should be carefully monitored，and appropriate ureteroscope and lens sheath should be selected for the success and safety of the operation.In this paper，the perioperative management of FURL under LA is briefly summarized，so as to provide reference for clinical practice.
