Musa EKİCİ, İsmail NALBANT, Hasan Nedim Göksel GÖKTUĞ, Ufuk ÖZTÜRK, Nevzat Can ŞENER, Abdurrahim İMAMOĞLU

Böbrek Taşı Olgularında Tam Tüpsüz Perkütan Nefrolitotomi Uygulaması

Amaç: Bu çalışmada tam tüpsüz perkutan nefrolitotomi (PNL) uygulamasıyla ilgili deneyimlerimiz aktarılmıştır. Materyal-Metod: Ocak 2010-Aralık 2012 tarihleri arasında böbrek taşı olan 140 olguda uygulanan tam tüpsüz PNL yönteminin sonuçları incelendi. Bulgular: Hastaların yaş ortalaması 47,84(5-73) idi. Ortalama operasyon süresi 88.8(45-110) dk, taş alanı ise 375.2(110-175) mm² idi. Taşsızlığa ulaşma oranımız KÖRF dahil 130(%92.8) olarak hesaplandı. PNL uyguladığımız hastalarımızdan 1 tanesinde serozal kolon yaralanması 2 hastada postoperatif perirenal hematom izlendi. Sonuç: Sonuç olarak uygun vakalarda tam tüpsüz PNL, günümüzde böbrek taşı tedavisinde taşsızlığa ulaşma noktasında standart PNL kadar güvenle uygulanabileceğini düşünmekteyiz.

Anahtar Kelimeler:

Böbrek taşı, Tam Tüpsüz Perkutan Nefrolitotomi

Practice of Totally Tubeless Nephrolitotomy among Patients with Renal Calculus

Purpose: We aimed to present the data on totally tubeless nephrolitotomy (PNL) outcomes undergone in our clinic. Materials and Methods: We retrospectively analyzed 140 patients undergone totally tubeless PNL in our clinic between January 2010 and December 2012. Results: Mean patient age was 47,84 (5-73). Mean operative time was 88,8 (45-110) minutes where mean stone area was 375,3 (110-175) mm2 . 92,8% was our stone free rate. Remaining 10 patients had undergone ureterorenoscopy for ureteral stones. Two patients having non-opaque stones had residual kidney stones and treated by SWL. 8 patients (%5,7) needed blood transfusion, 2 patients needed perirenal hematoma and treated conservatively. No patients needed additional treatment or encountered vascular complications. One patient encountered serozal colon injury and treated conservatively. Conclusion: With regard to patient comfort, shorter hospital stay, low analgesic requirement, totally tubeless PNL gained popularity. We believe totally tubeless PNL may be used in suitable cases. Key Words: Kidney Stone, Totally Tubeless, Nephrolithotomy

Keywords:

Kidney Stone Totally Tubeless, Nephrolithotomy,

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Yazışma Adresi / Address for Correspondence: Dr. Nevzat Can Şener Dışkapı Yıldırım Beyazıd Eğitim ve Araştırma Hastanesi Üroloji Kliniğiı ANKARA e-mail: cansener@gmail.com geliş tarihi/received :06.03.2013 kabul tarihi/accepted:10.04.2013