The Effect of Ventilation Mode in Anesthesia on Renal Mobility During Retrograde Intrarenal Surgery: A Single-Blind Randomized Study

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dc.authoridSAHIN, MEHMET FATIH/0000-0002-0926-3005
dc.contributor.authorDogan, Cagri
dc.contributor.authorAkgul, Murat
dc.contributor.authorSahin, Ayhan
dc.contributor.authorYazici, Cenk Murat
dc.contributor.authorSahin, Mehmet Fatih
dc.contributor.authorAltin, Enes
dc.contributor.authorKeles, Anil
dc.date.accessioned2024-10-29T17:59:00Z
dc.date.available2024-10-29T17:59:00Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractPurpose: Renal mobility can present challenges for surgeons during stone fragmentation. The respiratory setup of the mechanical ventilator during RIRS might affect renal mobility. This study aimed to evaluate the effect of high ventilation (HV) and standard ventilation (SV) modes on renal mobility during RIRS.Materials and Methods: Patients who underwent RIRS at a single center between November 2020 and November 2021 were retrospectively included in the study. Renal mobility was measured under fluoroscopic view in HV and SV modes during retrograde pyelography. The surgeon, who was blind about mechanical ventilation modes, was asked to assess the renal movement grade. After the ventilation mode was changed, the surgeon reassessed renal mobility. The data and the surgeon's assessment were recorded and compared to each other.Results: A total of 86 patients with a mean age of 48.6 +/- 15.7 years were included in the study. There was a significant difference between the SV and HV modes in terms of renal mobility in fluoroscopic view (17.1 +/- 6.1 mm and 13.6 +/- 5.2mm, respectively; p = 0.007). According to the surgeon's assessments, the grade of renal mobility was found to be significantly higher in the SV group 2.8 +/- 1.1 compared to the HV group 2.2 +/- 0.8 (p = 0.001). Renal movement increased significantly under fluoroscopic vision as the renal grading of the surgeon increased (p = 0.013). This data demonstrated that the surgeon's assessment of renal mobility was significantly correlated with fluoroscopic kidney movement.Conclusion: Kidney movement was decreased significantly in HV mode during RIRS according to both fluoroscopic findings and surgeon assessment. Most surgeries of mobile kidneys were performed in HV mode, due to the surgeon's preference.
dc.identifier.doi10.22037/uj.v20i.7478
dc.identifier.endpage304
dc.identifier.issn1735-1308
dc.identifier.issn1735-546X
dc.identifier.issue5en_US
dc.identifier.pmid37485607
dc.identifier.scopus2-s2.0-85176851397
dc.identifier.scopusqualityQ3
dc.identifier.startpage299
dc.identifier.urihttps://doi.org/10.22037/uj.v20i.7478
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14592
dc.identifier.volume20
dc.identifier.wosWOS:001094139400002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherUrol & Nephrol Res Ctr-Unrc
dc.relation.ispartofUrology Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectrenal mobility
dc.subjectRIRS
dc.subjectmechanical ventilation
dc.subjectgeneral anesthesia
dc.subjectnephrolithiasis
dc.subjectureteroscopy
dc.titleThe Effect of Ventilation Mode in Anesthesia on Renal Mobility During Retrograde Intrarenal Surgery: A Single-Blind Randomized Study
dc.typeArticle

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