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Anesthetic Considerations During Endourologic Surgery

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Difficult Cases in Endourology

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Abstract

Urologic surgeries include procedures ranging from “minor” day-case-based procedures to major procedures, causing marked hemodynamic changes. These surgeries have undergone many improvements in the last two decades. A good example of minimally invasive surgical procedures is percutaneous nephrolithotomy (PCNL) and ureteroscopic (URS) lithotripsy. PCNL facilitates a direct approach to calculi with few traumas to the kidneys and surrounding structures than open surgery, and it is the treatment of choice for kidney stones >2 cm, staghorn calculi, and multiple kidney calculi. The techniques used in PCNL have improved, and efforts have been made to decrease morbidity, analgesic needs, and hospitalization time. In a study of hemodynamic changes during general anesthesia during a series of PCNL for staghorn stones, the operation was found to be a challenge because of the possibility of fluid absorption, dilutional anemia, hypothermia, or significant blood loss.

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Authors and Affiliations

  1. Department of Anesthesia, Ain-shams University, Cairo, 11371, Egypt

    Ahmed M. Labib MBBCh, M.Sc.

  2. Department of Surgery, Kuwait University, Jabriyah, Kuwait City, 13110, Kuwait

    Ahmed M. Al-Kandari M.D., FRCS(C)

Authors
  1. Ahmed M. Labib MBBCh, M.Sc.
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  2. Ahmed M. Al-Kandari M.D., FRCS(C)
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Correspondence to Ahmed M. Al-Kandari M.D., FRCS(C) .

Editor information

Editors and Affiliations

  1. Fac. Medicine, Dept. Surgery, Kuwait University, Safat, Kuwait

    Ahmed M. Al-Kandari

  2. , Department of Urology, Muljibhai Patel Urological Hospital, Dr Virendra Desai Road, Nadiad, 387 001, India

    Mahesh Desai

  3. , Urology and Nephrology Center, Mansoura University, Gomhoria Street, Mansoura, 35516, Egypt

    Ahmed A. Shokeir

  4. , Urology and Nephrology Center, Mansoura University, Gomhoria Street, Mansoura, 35516, Egypt

    Ahmed M. Shoma

  5. , Smith Institute for Urology, Long Island Jewish Health System, New York, 11040, USA

    Arthur D. Smith

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Labib, A.M., Al-Kandari, A.M. (2013). Anesthetic Considerations During Endourologic Surgery. In: Al-Kandari, A., Desai, M., Shokeir, A., Shoma, A., Smith, A. (eds) Difficult Cases in Endourology. Springer, London. https://doi.org/10.1007/978-1-84882-083-8_2

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  • DOI: https://doi.org/10.1007/978-1-84882-083-8_2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-082-1

  • Online ISBN: 978-1-84882-083-8

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