This observational study compares the effects of spinal versus general anesthesia on the perioperative systemic inflammatory response in adults undergoing PCNL. Routine clinical laboratory values (NLR, RDW, LAR) obtained preoperatively and postoperatively will be recorded to evaluate between-group and within-group changes. No additional blood sampling will be performed beyond standard care.
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Change in Neutrophil-to-Lymphocyte Ratio (ΔNLR)
Timeframe: Baseline (≤6 hours preoperative) and 24 hours postoperatively