TOLGA KARAKAN, Ahmet Metin HASÇİÇEK, Berat Cem ÖZGÜR, Ömer Gökhan DOLUOĞLU, Mücahit KABAR, Erim ERSOY, Emre HURİ, MUZAFFER EROĞLU

Dijital fleksible üreteroskopi ilk sonuçlarımız

Amaç: Retrograde intrarenal cerrahide kullandığımız dijital fleksible üreteroskopi deneyimlerimizi sunmayı amaçladık.Gereç ve Yöntemler: Mart 2013-Şubat 2014 tarihleri arasında dijital fleksible üreterorenoskop ile 78 renal ünite retrograde intrarenal cerrahi yöntemiyle tedavi edildi. Hasta, taş ve with digital flexible ureteroscopy. Demograpoperasyon özellikleri ve başarı oranları değerhics, stone characteristics, operation specificalendirildi. Bulgular: Ortalama hasta yaşı 47,4 ve ortalama taş boyutu 16,04 mm olarak tespit edildi. Taş lokalizasyonları sırasıyla %29,48 ne size was 16,04 mm. The localizations renal pelvis, %6,41 üst pol, %6,41 orta pol ve of the stones were renal pelvis 29,48%, upper %29,48 alt pol idi. 56 renal ünitede tek taş varken 22 ünitede birden fazla taş mevcuttu. Ortalama operasyon ve floroskopi süreleri sırasıyla tients had multiple stones. The mean operation 55,9 dakika ve 42,1 saniye olarak tespit edildi. time was 55, 9 minutes and the mean fluorosBaşlangıç ve final başarı oranları ise sırasıyla copy time was 42, 1 seconds. The initial and %77,92 ve %79,26 olarak bulundu. final success rates were 77,92% and 79,26% resSonuç: Dijital fleksible üreteroskopların pectively. başarı oranları fiberoptik olanlarla benzerlik göstermektedir. Bunların başlıca avantajları görüntü kaliteleri ve sağlamlıklarıdır. En büyük devices. Their advantages are clear image quality dezavantajları ise fiberoptik cihazlara göre daha and durability. The major disadvantage is their kalın çaplarının olmasıdır

Anahtar Kelimeler:

Dijital, fiberoptik, fleksible üreteroskopi

Initial results of our digital flexible ureteroscopy

Objective: To present our digital flexible ureteroscopy experience during retrograde intrarenal surgery. Material and Methods: Between March 2013 and February 2014, a total of 78 renal units were treated by retrograde intrarenal surgery with digital flexible ureteroscopy. Demographics, stone characteristics, operation specifications and success rates of the patients are evaluated. Results: The mean age was 47, 4 and stone size was 16,04 8-36 mm. The localizations of the stones were renal pelvis 29,48%, upper pole 6,41%, middle pole 6,41% and lower pole 29,48%. 56 patients had single stone and 22 patients had multiple stones. The mean operation time was 55, 9 minutes and the mean fluoroscopy time was 42, 1 seconds. The initial and final success rates were 77,92% and 79,26% respectively. Conclusion: Digital flexible ureteroscopes has similar success rates compared to fiber optic devices. Their advantages are clear image quality and durability. The major disadvantage is their larger diameter compared to fiber optic devices.

Keywords:

Digital, fiber optic, Flexible ureteroscopy,

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