title: [Usefulness of epidural anesthesia for percutaneous endoscopic lumbar discectomy (PELD)].
abstract: METHODS
  To study feasibility of epidural anesthesia for percutaneous endoscopic lumbar discectomy (PELD), we made a retrospective comparison of three anesthetic groups (28 cases with epidural anesthesia, 19 cases with local anesthesia, and 28 cases with general anesthesia) undergoing PELD.
  
  
  RESULTS
  Three groups matched each other in age, the surgical site, and the duration of surgery; however, the frequency of male patients was significantly greater in the local anesthesia (LA) group. In the epidural anesthesia (EA) group, there was no patient who required a change of the anesthetic technique or analgesics administration during surgery. In EA group, patients received smaller amount of local anesthetic but spent longer time in the operating room compared with those in LA group. EA and GA groups included several cases staying long time in the hospital and presented wide statistical dispersion of the duration of hospitalization. There was no difference in the dose of local anesthetics, the duration of total procedure, or time to discharge between EA and GA groups.
  
  
  CONCLUSIONS
  Epidural anesthesia is suggested to be a useful option for anesthetic techniques in patients undergoing PELD.
authors.affiliation: Department of Anesthesiology, Mizonokuchi Hospital, Teikyo University School of Medicine, Kawasaki 213-8507.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Yoshikawa
authors.forename: Tomio
authors.initials: T
authors.lastname: Andoh
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Tarumoto
authors.forename: Rieko
authors.initials: R
authors.lastname: Yamada
authors.forename: Yuki
authors.initials: Y
authors.lastname: Akihisa
authors.forename: Ichidai
authors.initials: I
authors.lastname: Kudoh
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage; D017587:Diskectomy, Percutaneous; D004724:Endoscopy; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D007902:Length of Stay; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors
chemical_list: D000779:Anesthetics, Local