Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population
Yıl: 2020 Cilt: 7 Sayı: 4 Sayfa Aralığı: 263 - 270 Metin Dili: İngilizce DOI: 0.4274/jus.galenos.2020.3789 İndeks Tarihi: 30-04-2021
Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population
Öz: Objective: We aimed to compare the efficacy and safety of percutaneous nephrolithotomy (PNL) in the young and elderly population.Materials and Methods: The data of 3362 adult patients who underwent PNL were retrospectively evaluated. The patients were divided into two age groups of 18-64 (young patients) and ≥65 years (elderly patients). The groups were compared in terms of patient characteristics, operative data, surgical outcomes, and complications.Results: The median ages were 69 (65-85) and 47 (18-64) years and the mean surface areas of the stones were 412 (245.5-700) and 417 (225-780) mm2 in the elderly and young groups, respectively. There were no statistically significant differences between the groups in terms of laterality, access number, stone location, presence of hydronephrosis, Guy’s Stone score, mean operative time, mean hospitalization days, and the type of anaesthesia (p>0.05). Preoperative haemoglobin and glomerular filtration rate (GFR) values were statistically lower in the elderly group, while postoperative haemoglobin drop and postoperative 4th week GFR changes of the groups were not significantly different (p>0.05). There was no significant difference between the total complication rates of the groups (p=0.835). Stone-free rate was higher in the elderly population, while success rates were similar in both groups (p=0.002 and p=0.605, respectively).Conclusion: PNL is a safe and effective treatment modality regardless of the age of patient.
Anahtar Kelime: Yaşlı ve Genç Popülasyon Arasında Perkütan Nefrolitotomi Sonuçlarının Karşılaştırılması
Öz: Amaç: Genç ve yaşlı popülasyonlarda perkütan nefrolitotominin (PNL) etkinliğini ve güvenilirliğini karşılaştırmayı amaçladık.Gereç ve Yöntem: PNL uygulanan 3352 yetişkin hastanın verileri retrospektif olarak değerlendirildi. Hastalar 18-64 yaş ve 65 yaş ve üstü olmak üzere iki yaş grubuna ayrıldı. Gruplar hasta özellikleri, ameliyat verileri, cerrahi sonuçlar ve komplikasyonlar açısından karşılaştırıldı.Bulgular: Ortanca yaş yaşlı grupta 69 (65-85), genç grupta 47 (18-64) idi. Ortalama taş yüzey alanı sırasıyla 412 (245,5-700) mm2 ve 417 (225-780) idi. Gruplar arasında taraf, erişim sayısı, taş yerleşimi, hidronefroz varlığı, Guy Taş skoru, ortalama ameliyat süresi, ortalama hastanede yatış günü ve anestezi tipi açısından istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Ameliyat öncesi hemoglobin ve glomerüler filtrasyon hızı (GFR) değerleri yaşlı grupta istatistiksel olarak düşük iken, ameliyat sonrası hemoglobin düşmesi ve ameliyat sonrası 4. hafta GFR değişiklikleri anlamlı olarak farklı değildi (p>0,05). Grupların toplam komplikasyon oranları arasında anlamlı fark yoktu (p=0,835). Taşsızlık oranı yaşlı popülasyonda daha yüksek, başarı oranları her iki grupta benzerdi (sırasıyla p=0,002 ve p=0,605).Sonuç: PNL, hastanın yaşından bağımsız olarak güvenli ve etkili bir tedavi yöntemidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ONEN E, caglayan v (2020). Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. , 263 - 270. 0.4274/jus.galenos.2020.3789 |
| Chicago | ONEN EFE,caglayan volkan Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. (2020): 263 - 270. 0.4274/jus.galenos.2020.3789 |
| MLA | ONEN EFE,caglayan volkan Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. , 2020, ss.263 - 270. 0.4274/jus.galenos.2020.3789 |
| AMA | ONEN E,caglayan v Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. . 2020; 263 - 270. 0.4274/jus.galenos.2020.3789 |
| Vancouver | ONEN E,caglayan v Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. . 2020; 263 - 270. 0.4274/jus.galenos.2020.3789 |
| IEEE | ONEN E,caglayan v "Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population." , ss.263 - 270, 2020. 0.4274/jus.galenos.2020.3789 |
| ISNAD | ONEN, EFE - caglayan, volkan. "Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population". (2020), 263-270. https://doi.org/0.4274/jus.galenos.2020.3789 |
| APA | ONEN E, caglayan v (2020). Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. Journal of Urological Surgery, 7(4), 263 - 270. 0.4274/jus.galenos.2020.3789 |
| Chicago | ONEN EFE,caglayan volkan Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. Journal of Urological Surgery 7, no.4 (2020): 263 - 270. 0.4274/jus.galenos.2020.3789 |
| MLA | ONEN EFE,caglayan volkan Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. Journal of Urological Surgery, vol.7, no.4, 2020, ss.263 - 270. 0.4274/jus.galenos.2020.3789 |
| AMA | ONEN E,caglayan v Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. Journal of Urological Surgery. 2020; 7(4): 263 - 270. 0.4274/jus.galenos.2020.3789 |
| Vancouver | ONEN E,caglayan v Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population. Journal of Urological Surgery. 2020; 7(4): 263 - 270. 0.4274/jus.galenos.2020.3789 |
| IEEE | ONEN E,caglayan v "Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population." Journal of Urological Surgery, 7, ss.263 - 270, 2020. 0.4274/jus.galenos.2020.3789 |
| ISNAD | ONEN, EFE - caglayan, volkan. "Comparison of Percutaneous Nephrolithotomy Outcomes in the Elderly and Young Population". Journal of Urological Surgery 7/4 (2020), 263-270. https://doi.org/0.4274/jus.galenos.2020.3789 |
