Our results with flexible ureterorenoscopy in treatment of upper calyceal stones in obese patients

Year 2019, , 79 - 83, 01.07.2019

Engin Kölükçü , Bekir Süha Parlaktaş

https://doi.org/10.32322/jhsm.521546

Abstract

Aim:
Aim of the present study was to analyze the outcomes of obese patients treated
with ureterorenoscopy for upper calyceal stones. 

Material and Method:
Data of obese patients who had flexible ureterorenoscopy for upper calyceal
stones in January 2015-December 2018 period were analyzed retrospectively. Demographic features, stone sizes, stent use after the
operation, operative time, hospital stay, complications and stone-free rate
were evaluated.

Results:
The study included 30 obese patients (18 male and 12 female). Average age was
52.6±12.06 years. Average stone size was 19.46±6.6 mm. Average operative time
was 72.1±16.8 minutes and hospital stay was 1.5±1.1 days. Success rate was
73.3%. Double J stent was placed in 76.6% of the patients after the operation.
In postoperative follow-ups, three patients had severe colic pain, five
patients had hematuria lasted less than 24 hours without need for blood transfusion
and two patients had urinary system infection. No major complications that
could lead to morbidity or mortality were observed in any patients.

Conclusion:
Flexible ureterorenoscopy is an efficient treatment method with its higher
stone-free and lower complication rates for the treatment of upper calyceal
stones in obese patients.

Keywords

Flexible ureterorenoscopy, obesity, upper calyceal, stone

Obez hastalarda üst kaliks taşlarının tedavisinde fleksible üreterorenoskopi sonuçlarımız

Abstract

Amaç: Bu çalışmada üst kaliks taşı tedavisinde fleksible
üreterorenoskopi uyguladığımız obez hastaların sonuçları analiz
edilmiştir.                                                                                                                                                                                                                         

Gereç ve Yöntem: Ocak
2015-Aralık 2018 tarihleri arasında üst kaliks taşlarına yönelik fleksible
üreterorenoskopi uygulanan obez hastaların verileri geri dönük olarak analiz
edildi. Hastaların demografik verileri, taş boyutları, ameliyat sonrası stent
kullanımı, ameliyat süreleri, hastanede kalış zamanı, komplikasyon ve taşsızlık
oranı değerlendirildi.                                                                                      

Bulgular: Çalışmaya 18'si
erkek, 12'u kadın olmak üzere 30 obez hasta alındı. Hastaların yaş ortalaması
52.6±12.06 yıl idi. Ortalama taş boyutu 19.46±6.6 idi. Ortalama operasyon
süresi 72.1±16.8  dakika ve ortalama
hastanede kalış süresi 1.5±1.1 gün olarak hesaplandı. Başarı oranı %73.3 olarak
belirlendi. İşlem sonrası hastaların %76.6'sında d-j stent uygulandı.
Postoperatif takiplerinde 3 hastada şiddetli kolik ağrı, 5 hastada kan
transfüzyonu gerektirmeyen 24 saatten kısa süren hematüri ve 2 hastada üriner
sistem enfeksiyonu görüldü. Hiçbir hastada morbite veya mortaliteye neden
olacak major komplikasyon izlenmedi.

Sonuç:
Obez hastalarda üst kaliks taşlarının tedavisinde yüksek taşsızlık ve düşük
komplikasyon oranlarıyla fleksible üreterorenoskopi etkin bir tedavi
yöntemidir.                                                      
                               

Keywords

Flexible üreterorenoskopi, obezite, üst kaliks, taş

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