TY  - JOUR
T1  - Percutaneous nephrolitotomy in morbidly obese patients
TT  - Morbid obez hastalarda perkütan nefrolitotomi
AU  - Şimşek, Berkan
AU  - Bindayi, Ahmet
AU  - Tahra, Ahmet
AU  - Boylu, Uğur
AU  - Küçük, Eyüp Veli
PY  - 2016
DA  - May
JF  - Yeni Üroloji Dergisi
JO  - New J Urol.
PB  - Ali İhsan TAŞÇI
WT  - DergiPark
SN  - 1305-2489
SP  - 40
EP  - 45
VL  - 11
IS  - 2
LA  - en
AB  - Purpose: To evaluate the efficacy and safety  of percutaneous nephrolithotomy  PCNL  in  morbidly obese  Body mass index  BMI  >35 kg/  m2  patients and compare the outcomes of the  operation with normal weighted  BMI = 18.5 –  25 kg/m2  patients.  Material and Methods: We evaluated  the perioperative and stone-related outcomes  following PCNL in morbidly obese and normal  weighted patients retrospectively. 32 morbidly  obese and 112 normal weighted patients enrolled  into this study.  Results: Mean ages of normal weighted  and morbidly obese patients were 45.3 and  42.6, respectively. The morbidly obese patients  demonstrated higher rates of diabetes mellitus   70.5% vs. 7.1%, p  < 0.05  and cardiovascular  disease  47% vs. 3.5%, p  < 0.05 . Mean stone  dimesion in long axis was 2.3±0.9 cm. Mean  operative duration was longer in the morbidly  obese group  106 ±46 min vs. 78 ± 38.5 min,  p =0.07 . Stone-free rates were similar between  two groups  83.9% vs. 82.3%, p >0.05 . There  was no significant difference in the transfusion  rate and the length of hospital stay. There was  no statistically significant difference between  complication rates in two groups  9.8% vs. 8.8%,  p >0.05 .  Comment: Percutaneous nephrolitotomy is  safe and effective procedure in morbidly obese  patients.
KW  - Obesity
KW  - kidney stone
KW  - percutaneous nephrolitotomy
N2  - indeksi  VKİ  >35 kg/m2  perkütan  nefrolitotomi  PNL  operasyonun etkinliğinin  ve güvenilirliğin değerlendirilmesi ve normal  kilolu  VKİ = 18.5-25 kg/m2  hastalarla  operasyonun sonuçlarının karşılaştırılması.  Materyal ve Metod: Morbid obez ve  normal kilolu hastalarda PNL operasyonun  preoperatif, peroperatif ve postoperatif  sonuçları retrospektif olarak değerlendirildi.  32 morbid obez ve 112 normal kilolu hasta  değerlendirmeye alındı.  Sonuçlar: Normal kilolu hasta grubunda  yaş ortalaması 45.3 iken, morbid obez  grubunda 42.6 idi. Morbid obez hasta grubunda  diabetes mellitus  %70.5 ile %7.1, p 0.05 .  Yorum: Morbid obez hastalarda perkütan  nefrolitotomi etkin ve güvenilir bir tedavi  yöntemidir
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UR  - https://dergipark.org.tr/en/pub/yud/issue//708467
L1  - https://dergipark.org.tr/en/download/article-file/1019581
ER  -