Tecrübenin perkütan nefrolitotomi komplikasyonlarına etkisi

Cilt: 55 Sayı: 4 1 Aralık 2016
  • Hakan Türk
  • Cemal Selçuk İşoğlu
  • Mustafa Karabıçak
  • Mehmet Yoldaş
  • Batuhan Ergani
  • Tufan Süelözgen
  • Yusuf Özlem İlbey
  • Ferruh Zorlu
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Impact of experience on percutaneous nephrolithotomy complications

Abstract

Aim: Percutaneous nephrolithotomy (PNL) is a minimally invasive surgical procedure which has evolved in technique and instrumentation throughout the years. But just like every surgical procedure, PNL can have several complications. We have evaluated the distribution of the complications of PNL in our department throughout the years and the association between complications and surgical experience. Materials and Methods: Between January 2009 and October 2014, PNL was performed in 1625 renal units in our department. Based on the yearly total renal units, cases were divided into six groups. The distribution of frequently observed complications throughout the years and their ratios among all complications were assessed. Complications like bleeding requiring transfusion, fever, ureter stone, colonic injury, pleural injury and arteriovenous fistula were compared. Results: The mean age of 1625 renal units was 48 (17-80) years. The mean stone size was 633 mm2 and the mean operation time was 74 minutes. There was a significant decrease in the number of blood transfusions, in fever-acquiring patients, complications overall and duration of operations while there was a significant increase in stone-free rates throughout the years. Conclusion: PNL is considered as the gold standard method for management of renal stones offering high stone-free rates. Still, serious and life threatening complications could be expected following this procedure. A decrease in complication rates was observed with increasing surgical experience in PNL operations.

Keywords

Ayrıntılar

Birincil Dil

Türkçe

Konular

-

Bölüm

-

Yazarlar

Hakan Türk

Cemal Selçuk İşoğlu

Mustafa Karabıçak

Mehmet Yoldaş

Batuhan Ergani

Tufan Süelözgen

Yusuf Özlem İlbey

Ferruh Zorlu

Yayımlanma Tarihi

1 Aralık 2016

Gönderilme Tarihi

1 Aralık 2016

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 1970 Cilt: 55 Sayı: 4

Kaynak Göster

Vancouver
1.Hakan Türk, Cemal Selçuk İşoğlu, Mustafa Karabıçak, Mehmet Yoldaş, Batuhan Ergani, Tufan Süelözgen, Yusuf Özlem İlbey, Ferruh Zorlu. Tecrübenin perkütan nefrolitotomi komplikasyonlarına etkisi. ETD. 01 Aralık 2016;55(4):163-7. doi:10.19161/etd.344219

Cited By

Ege Tıp Dergisi, makalelerin Atıf-Gayri Ticari-Aynı Lisansla Paylaş 4.0 Uluslararası (CC BY-NC-SA 4.0) lisansına uygun bir şekilde paylaşılmasına izin verir.