Engin KÖLÜKÇÜ, Bekir Süha PARLAKTAŞ

8036

Obez hastalarda üst kaliks taşlarının tedavisinde fleksible üreterorenoskopi sonuçlarımız

Amaç: Bu çalışmada üst kaliks taşı tedavisinde fleksible üreterorenoskopi uyguladığımız obez hastaların sonuçları analiz edilmiştir.                                                                                                                                                                                                                          Gereç ve Yöntem: Ocak 2015-Aralık 2018 tarihleri arasında üst kaliks taşlarına yönelik fleksible üreterorenoskopi uygulanan obez hastaların verileri geri dönük olarak analiz edildi. Hastaların demografik verileri, taş boyutları, ameliyat sonrası stent kullanımı, ameliyat süreleri, hastanede kalış zamanı, komplikasyon ve taşsızlık oranı değerlendirildi.                                                                                      Bulgular: Çalışmaya 18'si erkek, 12'u kadın olmak üzere 30 obez hasta alındı. Hastaların yaş ortalaması 52.6±12.06 yıl idi. Ortalama taş boyutu 19.46±6.6 idi. Ortalama operasyon süresi 72.1±16.8  dakika ve ortalama hastanede kalış süresi 1.5±1.1 gün olarak hesaplandı. Başarı oranı %73.3 olarak belirlendi. İşlem sonrası hastaların %76.6'sında d-j stent uygulandı. Postoperatif takiplerinde 3 hastada şiddetli kolik ağrı, 5 hastada kan transfüzyonu gerektirmeyen 24 saatten kısa süren hematüri ve 2 hastada üriner sistem enfeksiyonu görüldü. Hiçbir hastada morbite veya mortaliteye neden olacak major komplikasyon izlenmedi. Sonuç: Obez hastalarda üst kaliks taşlarının tedavisinde yüksek taşsızlık ve düşük komplikasyon oranlarıyla fleksible üreterorenoskopi etkin bir tedavi yöntemidir.                                                                                      
Anahtar Kelimeler:

Flexible üreterorenoskopi, obezite, üst kaliks, taş

Our results with flexible ureterorenoscopy in treatment of upper calyceal stones in obese patients

Aim: Aim of the present study was to analyze the outcomes of obese patients treated with ureterorenoscopy for upper calyceal stones.  Material and Method: Data of obese patients who had flexible ureterorenoscopy for upper calyceal stones in January 2015-December 2018 period were analyzed retrospectively. Demographic features, stone sizes, stent use after the operation, operative time, hospital stay, complications and stone-free rate were evaluated.Results: The study included 30 obese patients (18 male and 12 female). Average age was 52.6±12.06 years. Average stone size was 19.46±6.6 mm. Average operative time was 72.1±16.8 minutes and hospital stay was 1.5±1.1 days. Success rate was 73.3%. Double J stent was placed in 76.6% of the patients after the operation. In postoperative follow-ups, three patients had severe colic pain, five patients had hematuria lasted less than 24 hours without need for blood transfusion and two patients had urinary system infection. No major complications that could lead to morbidity or mortality were observed in any patients. Conclusion: Flexible ureterorenoscopy is an efficient treatment method with its higher stone-free and lower complication rates for the treatment of upper calyceal stones in obese patients.
Keywords:

Flexible ureterorenoscopy, obesity, upper calyceal, stone,

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Journal of Health Sciences and Medicine-Cover
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2018
  • Yayıncı: MediHealth Academy Yayıncılık
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