Perkutan Nefrolitotomide Komplikasyonları Öngörebilir Miyiz?

Abstract

Giriş: Perkutan Nefrolitotomi operasyonunun başarı oranının yüksek olması yanında işlem sırasında veya sonrasında bazen ciddi boyutlarda komplikasyonlar görülebilmektedir.  Çalışmamızda Perkutan Nefrolitotomi operasyonlarında başarıyı ve gelişebilecek komplikasyonları öngörebilmeyi sağlayacak faktörleri bulmayı amaçladık.

Materyal – metod: Kliniğimizde 481 renal üniteye uygulanan PNL operasyonları, toplam renal ünite temel alınıp olgular komplikasyon görülen ve komplikasyon görülmeyen olarak iki gruba ayrıldı. Kan transfüzyonu gerektiren klinik durum, ateş, üreter taşı, kolon, plevra yaralanması ve arterio-venöz fistül gibi komplikasyonlar karşılaştırıldı.

Bulgular: Araştırmada post operatif komplikasyon görülen grubun yaş ortalaması, komplikasyon görülmeyen grubunkine göre anlamlı düzeyde daha yüksektir. Bununla birlikte pelvise yerleşen taşlarda komplikasyon görülme sıklığı kaliks ve kaliks+pelivise yerleşenlerinkine göre anlamlı düzeyde daha düşükken, kaliks+pelvise yerleşen taşlarda komplikasyon görülme sıklığı diğer gruplarınkine göre anlamlı düzeyde daha yüksek saptanmıştır.

Sonuç: Çalışmamızda PNL operasyonlarında yaşın ve taşın yerleşim yerinin komplikasyonları ön görebileceği gösterilmiştir. Yaşlı hastalarda ve kompleks taşlarda komplikasyonlar açısından daha dikkatli olunmalıdır

Keywords

• Perkutan Nefrolitotomi,komplikasyon,böbrek taşı

Can We Predict Complications In Percutaneous Nephrolithotomy?

Abstract

Introduction:  Percutaneous nephrolithotomy (PNL) has a high success rate, but on the other hand, serious perioperative and postoperative complications can be seen occasionally.  In our study, we intended to identify the factors that might help us to predict the success of PCNL and the complications that may develop.

Materials and Methods: PNL operations performed in 481 renal units in our clinic were divided into two groups as the cases with and without complications. Complications such as clinical conditions requiring blood transfusion, fever, ureteral stones, colonic injury, pleural injury and arteriovenous fistulas were compared.

Results: Mean age was significantly higher in the group with postoperative complications in comparison to the group without complication. However, the incidence of complications was significantly lower in cases with pelvic stones in comparison to those with calyx and calyx+pelvic stones,  while the cases with calyx+pelvic stones had a significantly higher rate of complications with respect to the other groups.

Conclusion: It is demonstrated in our study that patient’s age and stone localization can predict complications in PNL. More attention needs to be paid to avoid complications in elderly patients and in complex stones.

Keywords

• Percutaneous nephrolithotomy,complication,renal stone

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