Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery
Yıl: 2020 Cilt: 27 Sayı: 1 Sayfa Aralığı: 82 - 86 Metin Dili: İngilizce DOI: 10.5505/vtd.2020.65733 İndeks Tarihi: 26-10-2020
Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery
Öz: Objective: To evaluate the results of retrograde intrarenalsurgery (RIRC) performed in our clinic in cases with renalstones.Materials and Methods: The results of 90 patients thatunderwent RIRC between June 2016 and January 2019 wereevaluated retrospectively. The demographic data and thepreoperative and postoperative clinical characteristics of thepatients were examined.Results: The mean age of 90 patients that underwent RIRC(41 men/49 women) was 43.35 (21-84) years, and the meanstone size was 16.22 (10-28) mm. The operation wasperformed under general anesthesia in 38 patients (42.22%)and spinal anesthesia in 52 (57.78%). The mean operationduration was 61.76 (30-115) min, and the mean stonefragmentation time was 48.33 (15-95) min. In 23 patients(25.55%), a double-J stent was inserted into the ureter sincethe kidney could not be reached due to stenosis. In 75 patients(83.33%), a double-J stent was placed at the end of theoperation. The mean hospital stay was 1.08 (1-3) days. Thestone-free rate was 71.12%. Of the cases with residual stones,21 (23.32%) underwent an additional intervention and five(5.55%) were followed up without further intervention.Complications were observed in 13 patients (14.44%) andevaluated according to the modified Clavien classification.Conclusion: In the presence of adequate equipment andexperience, RIRC is an effective and safe procedure with highsuccess, low complication and minimal morbidity rates in thetreatment of renal stones.
Anahtar Kelime: Retrograd İntrarenal Cerrahi Uygulanan 90 Hastanın Retrospektif Analizi
Öz: Amaç: Kliniğimizde böbrek taşı tedavisinde minimal invaziv tedavi olan retrograd intrarenal cerrahi (RİRC) uygulanan olguların sonuçlarını değerlendirmek. Gereç ve Yöntemler: Haziran 2016 - Ocak 2019 tarihleri arasında kliniğimizde RİRC yapılan 90 hastanın sonuçları retrospektif olarak değerlendirildi. Hastaların demografik verileri, operasyon öncesi ve sonrası klinik özellikleri incelendi. Bulgular: RİRC uygulanan toplam 90 hastanın (41erkek/49 kadın) ortalama yaşı 43,35 (21-84) yıl, ortalama taş boyutu 16.22 (10-28) mm idi. Operasyon hastaların 38’inde (% 42,22) genel anestezi, 52’sinde (%57,78) spinal anestezi altında uygulandı. Operasyon süresi ortalama 61.76 (30-115) dk, taş parçalanma süresi ortalama 48.33(15-95) dk idi. Hastaların 23’ünde (%25,55) darlık nedeniyle böbreğe ulaşım sağlanamadığından üretere double J stent yerleştirildi. 75 hastaya (%83,33) operasyon sonunda üretere double J stent yerleştirildi. Hastanede kalış süresi ortalama 1.08 (1-3) gün idi. Taşsızlık oranı %71,12 idi. Rezidü taşı kalan hastaların 21’ine (%23,32) ek girişim uygulandı, 5’ine (%5,55) ek girişim uygulanmadan takip edildi. Modifiye Clavien sınıflamasına göre 13 hastada (%14,44) komplikasyon izlendi. Sonuç: RİRC işlemi yeterli donanım ve deneyim varlığında, böbrek taşlarının tedavisinde komplikasyon oranı düşük, başarı oranı yüksek minimal invaziv bir tedavi yöntemidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | ÇIFT A, Benlioglu C (2020). Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. , 82 - 86. 10.5505/vtd.2020.65733 |
| Chicago | ÇIFT ALI,Benlioglu Can Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. (2020): 82 - 86. 10.5505/vtd.2020.65733 |
| MLA | ÇIFT ALI,Benlioglu Can Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. , 2020, ss.82 - 86. 10.5505/vtd.2020.65733 |
| AMA | ÇIFT A,Benlioglu C Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. . 2020; 82 - 86. 10.5505/vtd.2020.65733 |
| Vancouver | ÇIFT A,Benlioglu C Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. . 2020; 82 - 86. 10.5505/vtd.2020.65733 |
| IEEE | ÇIFT A,Benlioglu C "Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery." , ss.82 - 86, 2020. 10.5505/vtd.2020.65733 |
| ISNAD | ÇIFT, ALI - Benlioglu, Can. "Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery". (2020), 82-86. https://doi.org/10.5505/vtd.2020.65733 |
| APA | ÇIFT A, Benlioglu C (2020). Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. Van Tıp Dergisi, 27(1), 82 - 86. 10.5505/vtd.2020.65733 |
| Chicago | ÇIFT ALI,Benlioglu Can Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. Van Tıp Dergisi 27, no.1 (2020): 82 - 86. 10.5505/vtd.2020.65733 |
| MLA | ÇIFT ALI,Benlioglu Can Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. Van Tıp Dergisi, vol.27, no.1, 2020, ss.82 - 86. 10.5505/vtd.2020.65733 |
| AMA | ÇIFT A,Benlioglu C Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. Van Tıp Dergisi. 2020; 27(1): 82 - 86. 10.5505/vtd.2020.65733 |
| Vancouver | ÇIFT A,Benlioglu C Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery. Van Tıp Dergisi. 2020; 27(1): 82 - 86. 10.5505/vtd.2020.65733 |
| IEEE | ÇIFT A,Benlioglu C "Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery." Van Tıp Dergisi, 27, ss.82 - 86, 2020. 10.5505/vtd.2020.65733 |
| ISNAD | ÇIFT, ALI - Benlioglu, Can. "Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery". Van Tıp Dergisi 27/1 (2020), 82-86. https://doi.org/10.5505/vtd.2020.65733 |
