Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği

Year 2021, Volume: 2 Issue: 2, 53 - 59, 16.07.2021

Özer Baran Aykut Aykaç Ufuk Bozkurt

https://doi.org/10.48176/esmj.2021.18

Abstract

Giriş: Bu çalışmanın amacı retrograd intrarenal cerrahi (RIRS) tekniği uyguladığımız üst üriner sistem taşı bulunan pediatrik hastaların sonuçlarını değerlendirmektir.
Yöntemler: Temmuz 2014 - Temmuz 2019 tarihleri arasında RIRS uygulanan 18 yaşından küçük hastaların verileri retrospektif olarak değerlendirildi. Hastaların demografik verileri, taş lokalizasyonu-sayısı-boyutu ve dansitesi, renal anomali varlığı, hastanede kalış süresi, komplikasyon varlığı ve taşsızlık oranları incelendi.
Bulgular: Çalışmaya RIRS uygulanan 37 çocuk çalışmaya dahil edildi. Toplam taşsızlık oranı %91,9 (n=34) elde edildi. Clavien 1-2 komplikayon %18,9 (n=7) gözlendi. Ortalama yatış süresi 1,08 ± 0,36 (1-3) gün idi.
Sonuç: RIRS tekniği, endoürolojideki teknolojik gelişmeler sayesinde çocuk hastalarda kullanımı artmıştır. Deneyimlerimiz, çocuklarda üst üriner sistem taşlarının tedavisinde RIRS'ın güvenli ve etkili olduğunu desteklemektedir.

Keywords

Retrograd intrarenal cerrahi, ürolitiazis, pediatrik taş hastalığı

Effectiveness of Retrograde Intrarenal Surgery on Upper Urinary Tract Stones in Pediatric Cases

Abstract

Introduction: The objective of this study is to evaluate the results of pediatric patients with upper urinary tract stones where we applied the retrograd intrarenal surgery (RIRS) technique.
Methods: We retrospectively reviewed the files of patients younger than 18 years who underwent RIRS between July 2014 and July 2019. The demographic data of the patients, stone location-number-size and density, presence of renal anomalies, duration of hospital stay, presence of complications and stone-free rates were analyzed.
Results: The study included 37 patients who underwent RIRS. The total stone-free rate was 91.9% (n=34). Clavien 1-2 complications were observed in 18.9% (n=7). The mean hospitalization period was 1.08 ± 0.36 (1-3) days.
Conclusion: Retrograde intrarenal surgery technique has increased in pediatric patients due to technological advances in endourology. Our experience supports that RIRS is safe and effective in the treatment of upper urinary tract stones in children.

Keywords

Retrograde intrarenal surgery, urolithiasis, pediatric stone disease

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