Yıl: 2020 Cilt: 7 Sayı: 1 Sayfa Aralığı: 50 - 53 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2019.3066 İndeks Tarihi: 22-11-2020

Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study

Öz:
Objective: The aim of this study was to compare surgical outcomes of laparoscopic nephrectomy (LN) for benign diseases in patients with chronicrenal failure (CRF) undergoing hemodialysis with their non-CRF counterparts.Materials and Methods: A retrospective chart review of patients who underwent LN between 2008 and 2019 was conducted. Patients with CRFrequiring hemodialysis were defined as group 1 whereas those with normal renal function prior to surgery were defined as group 2. Operative andpostoperative parameters, such as complications, American Anesthesiologists Association scores, perioperative bleeding, length of stay and Hb drop,as well as demographic data, were reviewed.Results: There were 22 patients in group 1 (13 females and 9 males) and 43 patients in group 2 (27 females and 16 males). There was no statisticallysignificant difference between the groups with regards to mean intra operative bleeding (62.7±62.3 mL vs 55.9±54.7 mL, p=0.652) and Hb drop(0.9±0.8 g/dL vs 1.1±1.0 g/dL, p=0.475). The mean length of hospital stay was 3.8±1.0 days in group 1 whereas it was 3.4±1.3 days in group 2(p=0.263). No conversion to open surgery was needed in the cohort. Complications were observed in 2 patients in group 1, both of which wereblood transfusions and 3 patients in group 2 which were surgical site infection treated with iv antibiotics, delayed return of bowel movements andatelectasis that fully recovered after respiratory physiotherapy.Conclusion: Surgical outcomes in LN for benign urological problems in patients with CRF are comparable to those in patients with normal kidneyfunction.
Anahtar Kelime:

Kronik Böbrek Yetmezliğinin Benign Hastalıklar Sebebiyle Yapılan Laparoskopik Nefrektomide Cerrahi Sonuçlar Üzerine Etkisi Var mı? Karşılaştırmalı Bir Çalışma

Öz:
Amaç: Bu çalışmanın amacı kronik böbrek yetmezliği (KBY) nedeniyle hemodiyalize (HD) giren hastalarda benign sebeplerle yapılan laparoskopik nefrektomi (LN) sonuçlarını normal böbrek fonksiyonuna sahip hastalarla karşılaştırmaktır. Gereç ve Yöntem: Kliniğimizde 2008 ile 2019 yılları arasında benign sebeplerle LN yapılmış olgular retrospektif olarak değerlendirilmiştir. KBY nedeniyle HD’ye giren hastalar grup 1, normal böbrek fonksiyonuna sahip hastalar grup 2 olarak adlandırılmıştır. Gruplar arası cerrahi ve cerrahi dışı parametreler (Amerikan Anestezistler Derneği skoru, perioperatif kanama, hastane yatış süresi, hemoglobin düşüşü ve demografik bilgiler) karşılaştırılmıştır. Bulgular: Grup 1’de 22 hasta mevcut (13 kadın, 9 erkek) iken grup 2’de 43 hasta (27 kadın, 16 erkek) vardı. İki grup arasında perioperatif kanama (62,7±62,3 mL vs. 55,9±54,7 mL, p=0,652) ve hemoglobin düşüşü (0,9±0,8 g/dL vs. 1,1±1,0 g/dL, p=0,475) açısından fark saptanmadı. Grup 1 için ortalama hastanede yatış süresi 3,8±1,0 gün iken grup 2’de 3,4±1,3 gün olarak bulundu (p=0,263). Çalışmaya dahil edilen hiç bir hastada açık cerrahiye geçiş olmadı. Grup 1’de 2 hastada komplikasyon (kan transfüzyonu) gözlenirken grup 2’de 3 hastada komplikasyon izlendi (iv antibiyotik ile tedavi edilen yara yeri enfeksiyonu, uzamış barsak hareketi geri dönüşü, fizyoterapi ile gerileyen atelektazi). Sonuç: Benign sebeplerle yapılan LN açısından HD bağımlı KBY’li hastalar ile normal böbrek fonksiyonuna sahip hastalar arasında cerrahi sonuçlar açısından fark yoktur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ölçücüoğlu E, Dönmez M, Bayraktar A (2020). Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. , 50 - 53. 10.4274/jus.galenos.2019.3066
Chicago Ölçücüoğlu Erkan,Dönmez Muhammet İrfan,Bayraktar Ahmet Murat Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. (2020): 50 - 53. 10.4274/jus.galenos.2019.3066
MLA Ölçücüoğlu Erkan,Dönmez Muhammet İrfan,Bayraktar Ahmet Murat Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. , 2020, ss.50 - 53. 10.4274/jus.galenos.2019.3066
AMA Ölçücüoğlu E,Dönmez M,Bayraktar A Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. . 2020; 50 - 53. 10.4274/jus.galenos.2019.3066
Vancouver Ölçücüoğlu E,Dönmez M,Bayraktar A Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. . 2020; 50 - 53. 10.4274/jus.galenos.2019.3066
IEEE Ölçücüoğlu E,Dönmez M,Bayraktar A "Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study." , ss.50 - 53, 2020. 10.4274/jus.galenos.2019.3066
ISNAD Ölçücüoğlu, Erkan vd. "Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study". (2020), 50-53. https://doi.org/10.4274/jus.galenos.2019.3066
APA Ölçücüoğlu E, Dönmez M, Bayraktar A (2020). Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. Journal of Urological Surgery, 7(1), 50 - 53. 10.4274/jus.galenos.2019.3066
Chicago Ölçücüoğlu Erkan,Dönmez Muhammet İrfan,Bayraktar Ahmet Murat Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. Journal of Urological Surgery 7, no.1 (2020): 50 - 53. 10.4274/jus.galenos.2019.3066
MLA Ölçücüoğlu Erkan,Dönmez Muhammet İrfan,Bayraktar Ahmet Murat Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. Journal of Urological Surgery, vol.7, no.1, 2020, ss.50 - 53. 10.4274/jus.galenos.2019.3066
AMA Ölçücüoğlu E,Dönmez M,Bayraktar A Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. Journal of Urological Surgery. 2020; 7(1): 50 - 53. 10.4274/jus.galenos.2019.3066
Vancouver Ölçücüoğlu E,Dönmez M,Bayraktar A Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study. Journal of Urological Surgery. 2020; 7(1): 50 - 53. 10.4274/jus.galenos.2019.3066
IEEE Ölçücüoğlu E,Dönmez M,Bayraktar A "Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study." Journal of Urological Surgery, 7, ss.50 - 53, 2020. 10.4274/jus.galenos.2019.3066
ISNAD Ölçücüoğlu, Erkan vd. "Effects of Chronic Renal Failure on Surgical Outcomes of Laparoscopic Nephrectomy for Benign Diseases? A Comparative Study". Journal of Urological Surgery 7/1 (2020), 50-53. https://doi.org/10.4274/jus.galenos.2019.3066