Hospital Readmissions Due to Subcapsular Renal Hematoma After Flexible and Rigid Ureterorenoscopy

Objective: The aim of this study is to compare the rates of hospitalization due to subcapsular renal hematoma (SRH) following flexible ureterorenoscopy (FURS) and semirigid ureterorenoscopy (RURS) for the treatment of ureteral and renal stones. Materials and Methods: Patients who have been treated with FURS and RURS at two different institutions between March 2009 and February 2014 were enrolled in the study. Patient files and hospital records were reviewed. Pneumatic lithotriptor was used in RURS while holmium:yttrium aluminium garnet laser was used for FURS. Subcapsular hematoma diagnosis was based on clinical and radiological findings. Comparative analysis of patients with SRH in terms of age, sex, stone size/position, degree of preoperative hydronephrosis, duration of surgery and size of hematoma was done. Results: A total of 1187 patients were found to have undergone ureteroscopic intervention due to ureteal or renal stones. RURS was performed in 992 (83.6%) patients and FURS was performed in 195 patients (16.4%). Of the 992 patients who underwent RURS, postoperative SRH occurred in 6 patients (0.6%). Postoperative SRH occurred in 3 patients (1.5%) who underwent FURS. Of the 9 patients who developed SRH, blood transfusions were needed in three patients and one patient was treated with percutaneous drainage catheter insertion. No patient underwent open surgery. There was no statistically significant difference between the two types of surgeries with regard to age, stone size/localization, degree of preoperative hydronephrosis, duration of surgery and size of SRH (p>0.05). Conclusion: SRH is a rare complication following RURS and FURS. There is no statistically significant difference in the risk for this specific complication between FURS and RURS.

Fleksibl ve Rijid Üreterorenoskopi Sonrası Görülen Subkapsüler Hematom Nedeniyle Hastaneye Yatışların Karşılaştırılması

Amaç: Bu çalışmanın amacı üreter ve böbrek taşlarının endoskopik tedavisinde fleksibl ve rijid üreterorenoskopi sonrası ortaya çıkan subkapsüler hematom olgularının hastaneye yatışlarını karşılaştırmaktır. Gereç ve Yöntem: İki farklı hastanede Mart 2009 ve Şubat 2014 yılları arasında yapılmış olan fleksibl ve rijid üreterorenoskopi olguları retrospektif olarak tarandı. Hasta dosyaları ve hastane kayıtları incelendi. Rijid üreterorenoskopi için pnömotik, fleksibl üreterorenoskopi için holmium lazer kullanıldı. Subkapsüler hematom tanısı klinik ve radyolojik olarak konuldu. Hastalar iki grup için de yaş, cinsiyet, taş boyutu ve yeri, işlem öncesi hidronefroz derecesi, operasyon süresi ve hematom boyutu açısından karşılaştırıldı. Bulgular: Toplamda 1187 hastanın üreterorenoskopik girişim geçirmiş olduğu bulundu. Rijid üreterorenoskopi 992 hastaya (%83,6), fleksibl üreterorenoskopi ise 195 hastaya (%16,6) uygulandı. Rijid üreterorenoskopi grubunda 6 (%0,6), fleksibl üreterorenoskopi grubunda ise 3 hastada (%1,5) işlem sonrası subkapsüler renal hematom geliştiği saptandı. Bu 9 hastanın üçünde kan transfüzyonu gerekirken, birinde de perkütan drenaj kateteri yerleştirilmesi gerekliliği oldu. Hiçbir hastada açık cerrahi gerekmedi. İki hasta grubunda belirtilen parametreler açısından hiçbir fark bulunamadı (p>0,05). Sonuç: Rijid ve fleksibl üreterorenoskopi sonrası görülebilen subkapsüler hematom nadir bir komplikasyondur. Bu komplikasyonun gelişme riski fleksibl ve rijid üreterorenoskopi gruplarında benzerdir.

Kaynakça

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Kaynak Göster

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

2.1b 1.5b

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