PERKÜTAN NEFROLİTOTOMİDE BAŞARIYI ETKİLEYEN FAKTÖRLER

Year 2020, Volume: 22 Issue: 3, 303 - 309, 31.12.2020

Mustafa Karabıçak , Erkan Arslan , Batuhan Ergani , Hakan Türk

https://doi.org/10.24938/kutfd.715099

Abstract

Amaç: Çalışmamızda perkütan nefrolitotomide başarıyı etkileyen faktörleri belirlemeyi amaçladık.

Gereç ve Yöntemler: Ocak 2015 ve Ekim 2018 tarihleri arasında böbrek taşı nedeniyle perkütan nefrolitotomi yapılan 260 hastanın verileri retrospektif olarak incelendi. Hastalar postoperatif dönemde taşsızlık açısından bilgisayarlı tomografi ile değerlendirildi. Hastalar postoperatif dönemde taşı olanlar ve taşı olmayanlar olarak iki gruba ayrıldı. Hastaların yaş, cinsiyet, taş tarafı, komplikasyonlar, tranfüzyon oranları ve nefrostomi tüpü kalış süreleri kayıt altına alındı. Her iki grupta taş yerleşim yeri, taş operasyon öyküsü, taş boyutu, taş cilt mesafesi, beden kitle indeksi, operasyon ve skopi süreleri karşılaştırıldı.

Bulgular: Erkek cinsiyetin, taş boyutu ve yerleşiminin, operasyon ve skopi sürelerinin perkütan nefrolitotomi başarısına etki eden faktörler olduğunu belirledik. Yaş, taş tarafı, taş operasyon öyküsü, beden kitle indeksi, taş cilt mesafesi verilerini incelediğimizde istatiksel anlamlı farklılık saptanmadı. Ayrıca nefrostomi tüpü kalış süreleri, komplikasyon ve transfüzyon oranları her iki grupta benzerdi.

Sonuç: Perkütan nefrolitotomi işleminde başarıyı etkileyen faktörler cinsiyet, taş boyutu ve taş lokalizasyonu olarak sıralanabilir. Ayrıca operasyon ve skopi sürelerinin uzun olduğu hastalarda taşsızlık oranlarının azalabileceği akılda tutulmalıdır.

Keywords

Böbrek taşı, komplikasyon, perkütan nefrolitotomi, taşsızlık durumu

Factors Affecting Success in Percutaneous Nephrolithotomy

Abstract

Objective: In this study, we aimed to determine the factors affecting success in percutaneous nephrolithotomy.

Material and Methods: The data of 260 patients who underwent percutaneous nephrolithotomy for renal stone between January 2015 and October 2018 were analyzed retrospectively. The patients were evaluated by computed tomography in terms of stone-free postoperative period. Patients were divided into two groups as those with and without stones in the postoperative period. Age, sex, stone side, complications, transfusion rates and nephrostomy tube stay times were recorded. Stone location, stone operation history, stone size, stone skin distance, body mass index, operation and scopy times were compared in both groups.

Results: We determined that male gender, stone size and location, duration of operation and scopy time were the factors affecting the success of percutaneous nephrolithotomy. When we analyzed age, stone side, history of stone operation, body mass index and stone skin distance, we did not find any statistically significant difference. Nephrostomy tube stay times, complication and transfusion rates were similar in both groups.

Conclusion: Factors affecting success in percutaneous nephrolithotomy can be listed as sex, stone size and stone localization. In addition, it should be kept in mind that stone-free rates may decrease in patients with long operation and scopy times.

Keywords

Kidney stone, complication, percutaneous nephrolithotomy, stone free rate

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