Are the Complication Rates for the Open Approach in the Surgical Treatment of Bladder Stones Higher Than Rates for Endoscopic Approaches? A Comparative Multivariate Analysis Study

Objective: To compare the effectiveness, safety and complication rates of open vs endoscopic approach for bladder stone surgery and investigate the predictive factor for success and complication rate in patients with bladder stone. Materials and Methods: The records of 128 patients, who underwent stone surgery between November 2010 and June 2017, were analyzed. The patients were divided into two groups according to surgical approach as endoscopic or open group. Duration of surgery and catheterization and length of hospital stay were recorded. Multivariate analyses were done using logistic regression test to determine the risk factors for complications. Results: A total of 130 procedures were performed in 128 patients included in the study. Of them, 93 were treated via endoscopic approach and 37 via open approach. The overall success rate in endoscopic and open groups was 92.5% and 100%, respectively (p=0.44). Increased age, type of surgical approach and using lithotripsy were found to be risk factors for complications in univariate analysis. Only the type of surgery was found to be an independent risk factor for complications in multivariate analysis (p=0.006). Conclusion: Open and endoscopic approaches showed similar effectiveness in patients with bladder stone. The only significant risk factor for complications was the type of surgical approach.

Mesane Taşlarının Cerrahi Tedavisinde Açık Yaklaşımın Komplikasyonları Endoskopik Yaklaşımlardan Yüksek midir? Karşılaştırmalı Bir Multivaryan Analiz Çalışması

Amaç: Mesane taşı cerrahisinde açık ve endoskopik yaklaşımın etkinliğini, güvenliğini ve komplikasyon oranlarını karşılaştırmayı ve mesane taşı olan hastalarda başarı ve komplikasyon oranı için öngörü faktörünü araştırmayı amaçladık. Gereç ve Yöntem: Kasım 2010 ve Haziran 2017 arasında 128 hastanın kayıtları analiz edildi. Hastalar, endoskopik veya açık grup olarak cerrahi yaklaşıma göre iki gruba ayrıldı. Operasyon süresi, kateterizasyon ve hastanede yatış süreleri kaydedildi. Multivaryan analizle komplikasyonlar için risk faktörleri lojistik regresyon testi kullanılarak belirlendi. Bulgular: Çalışmaya dahil edilen 128 hastaya toplam 130 işlem uygulandı. Bunlardan 93’üne endoskopik yaklaşım ve 37’sine açık yaklaşım uygulanmıştır. Her iki grubun genel başarı oranı, endoskopik ve açık gruplar için sırasıyla %92,5 ve %100 idi (p=0,44). Artmış yaş, cerrahi yaklaşım tipi ve litotripsi kullanımı komplikasyonlar için univaryan analizde risk faktörleri olarak bulundu. Multivaryan analizde sadece cerrahi yaklaşım tipi komplikasyonlar için bağımsız risk faktörü olarak bulundu (p=0,006). Sonuç: Açık ve endoskopik yaklaşımlar, mesane taşı tedavisinde benzer etkinlik göstermiştir. Komplikasyonlar için tek anlamlı risk faktörü cerrahi yaklaşım tipi olarak tespit edildi.

Kaynakça

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Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.3b 1.6b

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