The anesthesia management of applying minimally invasive percutaneous neplrolithotripsy for treating hepatolithiasis
10.3760/cma.j.issn.1008-6706.2016.03.008
- VernacularTitle:应用微创经皮肾镜取石技术治疗肝内胆管结石的麻醉管理
- Author:
Zhiquan HE
;
Xinmin DING
;
Yujian GUAN
;
Jiahua CHEN
;
Guoliang WANG
;
Yunsheng LI
- Publication Type:Journal Article
- Keywords:
Anesthesia;
Nephrostomy,percutaneous;
Calculi;
Bile ducts,intrahepatic
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(3):349-352,353
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze the anesthesia management of applying minimally invasive percutaneous neplrolithotripsy for treating hepatolithiasis.Methods The anaesthesia method,anesthetic effect,the time of resuscitation after anesthesia and side -effect of anesthesia in 86 patients who were underwent minimally invasive percutaneous neplrolithotripsy for hepatolithiasis were analyzed.Results All 86 patients were satisfied with anesthetic effect and completed surgery successfully.Among them,48 patients underwent operation with epidural anesthesia,31 patients with general anesthesia and 7 patients with the management of anesthesia monitoring(MAC) plus with local anesthesia.The time of resuscitation after anesthesia in general anesthesia patients was longer than those of epidural anesthesia and MAC.6 patients were delayed recovery and hypothermia after general anesthesia, 4 cases of epidural anesthesia and 1 case of MAC appeared cholecyst -heart reflection,and 2 cases of epidural anesthesia vomiting intraoperation.Conclusion The rational anesthesia method for patients underwent minimally invasive percutaneous neplrolithotripsy for treating hepatolithiasis should consider reasonably heart and lung function, maintain hemodynamics and respiratory stably,pay attention to insulation intraoperation,prevent cholecyst -heart reflection and shorten the operation time,which can reduce the side -effect of anesthesia and were favor for recovery after operation.
