On mm’ den küçük Proksimal Üreter Taşlarının Tedavisinde Fleksibl ve Semirijid Üreteroskopi Kullanımının Karşılaştırması

Yıl 2019, Cilt: 16 Sayı: 3, 496 - 500, 25.12.2019

İbrahim Kartal , Sertaç Çimen , Orhan Yiğitbaşı Emin Ozan Akay Aşır Eraslan Görkem Özenç Burhan Baylan , Fatih Yalçınkaya

https://doi.org/10.35440/hutfd.602199

Öz

Amaç: On mm
ve altındaki proksimal üreter taşlarında cerrahi gerektiren durumlarda fleksibl
üreteroskopi ve semirijid üreteroskopi kullanımı sonuçlarının ve
güvenilirliğinin değerlendirilmesi amaçlanmıştır.

Materyal ve Metod: Kliniğimizde
2013-2019 arasında 10 mm’ den küçük proksimal üreter taşı nedeniyle opere
edilen hastaların verileri retrospektif olarak değerlendirildi. Hastalar
cerrahide kullanılan üreteroskopi tipine göre fleksibl ve semirijid üreteroskopi
grubu olarak ikiye ayrıldı. Her iki grup demografik özellikler, operatif ve
postoperatif sonuçlar ve başarı oranları açısından karşılaştırıldı.

Bulgular: On
mm’den küçük proksimal üreter taşlarının cerrahisinde kullanılan üretroskopi
tipine göre, toplam 382 hastada fleksibl (266) ve semirijid (116) üreteroskopi
grupları arasında demografik özellikler ve taş boyutu arasında fark
bulunmamaktaydı. Ortalama operasyon süresi fleksibl üreteroskopi grubunda 45±10,9
dakika iken semirijid üreteroskopi grubunda 37.2±10.2 dakikaydı (p= 0.001).
Fleksibl üretroskopi grubunda %91,4 (266/243) ve semirijid üreteroskopi
grubunda %79,3 (116/92) başarı oranına ulaşıldı (p= 0.001). Komplikasyon
oranları açısından fleksibl (%10,5) ve semirijid (%16,4) üreteroskopi grupları
arasında fark yoktu.

Sonuç: Küçük
proksimal üreter taşlarında cerrahi gerektiren durumlarda fleksibl üreteroskopi
kullanımı yüksek başarı oranları ile semirijid üreteroskopi kullanımına göre
daha avantajlı gözükmektedir.

Anahtar Kelimeler

fleksibl, semirijid, taş, üreteroskop

Destekleyen Kurum

Yok

Comparison of Flexible and Semirigid Ureteroscopy Usage for Treatment of Smaller Than Ten Millimeter Proximal Ureteral Stones

Öz

Background:In
this study, we aimed to investigate the treatment outcomes and safety profile
of flexible and semi-rigid ureteroscopy performed for the treatment of proximal
ureteral calculi smaller than 10 mm.

Materials and Methods: Patients
who underwent ureteroscopy in our clinic between 2013 and 2019 for proximal
ureteral stones smaller than 10 mm were assessed retrospectively. Patients were
divided into two groups with regard to ureteroscopy type. Each group were
compared in terms of demographic, operative and postoperative parameters and
success rates.

Results: No differences were
found between flexible (266) and semirigid ureteroscopy (116) groups in terms
of demographic features and stone sizes. Mean operative times were 45±10.9
minutes and 37.2±10.2 minutes for flexible and semi-rigid ureteroscopy groups,
respectively. Success rates were %91,4 (266/243) in flexible ureteroscopy group
and %79.3 (116/92) in semi-rigid ureteroscopy group. No differences were
detected in terms of complication rates (10.5% in flexible, 16.4% in semi-rigid
group).

Conclusion: Given
its high success rate, flexible ureteroscopy appears to be more advantageous
than semirigid ureteroscopy for treatment of proximal ureteral stone smaller
than 10 mm.

Anahtar Kelimeler

Flexible, Semirigid, Calculi, Ureteroscopy

Kaynakça

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