Yıl: 2020 Cilt: 7 Sayı: 1 Sayfa Aralığı: 1 - 7 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2019.2870 İndeks Tarihi: 22-11-2020

Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney

Öz:
bjective: To assess efficacy of the Guy’s Stone score (GSS) and Clinical Research Office of the Endourological Society (CROES) nomogram inpredicting outcomes of percutaneous nephrolithotomy (PCNL) in patients with solitary kidney.Materials and Methods: Ninety patients with solitary kidney, who underwent PCNL between 2010 and 2018 in our center, were evaluated.Demographic characteristics and preoperative laboratory results of the patients were recorded. Operative time, duration of anesthesia, accessnumber, stone location, supracostal access, stone-free (SF) rate, complication rate, nephrostomy tube removal time and length of hospital stay wererecorded.Results: Data of patients with residual stones and SF patients were compared. In the analysis of groups; GSS, CROES score, stone burden, preoperativecreatinine value, multiple accesses and presence of staghorn stone were found to be significant factors related with SF status. When data wasevaluated according to complication status, stone burden, GSS, CROES score, multiple accesses and stone location were significant factors. Inmultivariate analysis, the most significant factors in predicting SF and complication status were CROES score (p=0.019) and stone burden (p=0.012),respectively.Conclusion: PCNL is an effective method in the treatment of stones in solitary kidney. CROES score is a better predictor of SF status in patients withsolitary kidney. Patients with high stone burden are more prone to complications.
Anahtar Kelime:

Tek Böbrekli Hastalarda Uygulanan Perkütan Nefrolitotominin Sonuçlarını Tahmin Etmede Taş Skorlama Sistemlerinin Karşılaştırılması

Öz:
Amaç: Guy Taş skorunun (GSS) ve Endouroloji Derneği Klinik Araştırma Ofisi (CROES) nomogramının tek böbrekli hastalarda perkütan nefrolitotomi (PCNL) sonuçlarını öngörmedeki etkinliğini değerlendirmek. Gereç ve Yöntem: Kliniğimizde 2010 ve 2018 yılları arasında PCNL uygulanan tek böbrekli 90 hasta değerlendirildi. Hastaların demografik özellikleri ve preoperatif laboratuvar sonuçları kaydedildi. Operasyon süresi, anestezi süresi, akses sayısı, taş yerleşimi, suprakostal erişim, taşsızlık oranı (TO), komplikasyon oranı, nefrostomi çekim süresi ve hastanede kalış süresi kaydedildi. Bulgular: Rezidüel taşlı ve taşsız hastaların verileri karşılaştırıldı. Grupların analizinde; GSS, CROES skoru, taş yükü, preoperatif kreatinin değeri, çoklu akses ve staghorn taş varlığı TO durumu ile ilişkili önemli faktörlerdi. Veriler komplikasyon durumuna göre değerlendirildiğinde; taş yükü, GSS, CROES skoru, çoklu akses ve taş yerleşimi önemli faktörlerdi. Çok değişkenli analizlerde TO ve komplikasyon durumunu öngörmede en önemli faktörler sırasıyla CROES skoru (p=0,019) ve taş yükü (p=0,012) idi. Sonuç: PCNL, tek böbrekli hastalarda taşların tedavisinde etkili bir yöntemdir. CROES skoru tek böbreği olan hastalarda TO durumu için daha iyi bir belirleyicidir. Yüksek taş yükü olan hastalar komplikasyonlara daha yatkındır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA caglayan v, Öner S, ONEN E, Avci S, Kilinc M, AKGÜN U (2020). Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. , 1 - 7. 10.4274/jus.galenos.2019.2870
Chicago caglayan volkan,Öner Sedat,ONEN EFE,Avci Sinan,Kilinc Metin,AKGÜN Uğur Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. (2020): 1 - 7. 10.4274/jus.galenos.2019.2870
MLA caglayan volkan,Öner Sedat,ONEN EFE,Avci Sinan,Kilinc Metin,AKGÜN Uğur Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. , 2020, ss.1 - 7. 10.4274/jus.galenos.2019.2870
AMA caglayan v,Öner S,ONEN E,Avci S,Kilinc M,AKGÜN U Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. . 2020; 1 - 7. 10.4274/jus.galenos.2019.2870
Vancouver caglayan v,Öner S,ONEN E,Avci S,Kilinc M,AKGÜN U Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. . 2020; 1 - 7. 10.4274/jus.galenos.2019.2870
IEEE caglayan v,Öner S,ONEN E,Avci S,Kilinc M,AKGÜN U "Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney." , ss.1 - 7, 2020. 10.4274/jus.galenos.2019.2870
ISNAD caglayan, volkan vd. "Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney". (2020), 1-7. https://doi.org/10.4274/jus.galenos.2019.2870
APA caglayan v, Öner S, ONEN E, Avci S, Kilinc M, AKGÜN U (2020). Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. Journal of Urological Surgery, 7(1), 1 - 7. 10.4274/jus.galenos.2019.2870
Chicago caglayan volkan,Öner Sedat,ONEN EFE,Avci Sinan,Kilinc Metin,AKGÜN Uğur Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. Journal of Urological Surgery 7, no.1 (2020): 1 - 7. 10.4274/jus.galenos.2019.2870
MLA caglayan volkan,Öner Sedat,ONEN EFE,Avci Sinan,Kilinc Metin,AKGÜN Uğur Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. Journal of Urological Surgery, vol.7, no.1, 2020, ss.1 - 7. 10.4274/jus.galenos.2019.2870
AMA caglayan v,Öner S,ONEN E,Avci S,Kilinc M,AKGÜN U Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. Journal of Urological Surgery. 2020; 7(1): 1 - 7. 10.4274/jus.galenos.2019.2870
Vancouver caglayan v,Öner S,ONEN E,Avci S,Kilinc M,AKGÜN U Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney. Journal of Urological Surgery. 2020; 7(1): 1 - 7. 10.4274/jus.galenos.2019.2870
IEEE caglayan v,Öner S,ONEN E,Avci S,Kilinc M,AKGÜN U "Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney." Journal of Urological Surgery, 7, ss.1 - 7, 2020. 10.4274/jus.galenos.2019.2870
ISNAD caglayan, volkan vd. "Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney". Journal of Urological Surgery 7/1 (2020), 1-7. https://doi.org/10.4274/jus.galenos.2019.2870