Yıllara göre kliniğimizde yapılan taş ameliyatlarında oransal değişim

Abstract

Amaç: Taş hastalıkları üroloji pratiğinde sık karşılaşılan hastalık gruplarından biridir. Son yıllarda gelişen teknoloji ile birlikte üriner taş hastalıklarına yönelik yapılan ameliyatlarda da bir değişim yaşanmaktadır. Bu değişim minimal invaziv yöntem ve gereçlerin artması ve gelişimi ile son yıllarda daha da hızlanmıştır. Biz bu çalışmamızda 2003-2010 yılları arasında yapmış olduğumuz ürolojik taş operasyonlarını retrospektif olarak taradık.Gereç ve Yöntem: Kliniğimizde 2003-2010 yılları arasında yapılan 1004 taş operasyonu olgusu retrospektif olarak tarandı. Taramada hastaların yaşı, demografik özellikleri, ameliyat türü ve yıllara göre ameliyat oranlarındaki değişim incelendi.Bulgular: Hastaların yaş ortalaması these patients 485 48.3% were female and 519 51.7% male. 173 operations were performed for bladder stones; of these operations 86 49.7% were cystolithotomy and 85 50.3% were endoscopic cystolithotripsy. Of the 484 surgery performed for ureteral stones, 114 23.6% were ureterolithotomy and 370 76.4% were ureterorenoscopy. In 2003, only 45,2 % of bladder stone operation was performed endoscopic; but in 2010 this rate was increased to 57,2 %. Endoscopic surgery for ureteral stones, the rate was 54,1 % in 2003; but in 2010 this rate was increased to 87,7 %. When we look at the surgical techniques over the years, in 2003 open stone surgery was mainly performed when PNL was not done; but in 2010 minimal invasive techniques like PNL 60,7 % yılında tamamı açık taş operasyon ile yapılırken, 2010 yılında PNL gibi % 60,7 minimal invaziv yöntemler daha sık tercih edilmiştir.Sonuç: Üroloji pratiğinin sık görülen hastalıklarından biri olan taş hastalıklarına yönelik ameliyatlarda minimal invaziv yöntem ve gereçlerinin gelişimi, yaygınlaşması ve pratiğinin artışı ile uygulanan yöntemlerde belirgin bir değişim gözlenmektedir. Geçmiş yıllara oranla açık ameliyat oranlarındaki düşüş daha az invaziv olan yöntemlerin pratikte daha çok yer alması sonucudur

Keywords

• perkütan nefrolitotomi,sistolitotripsi,üreterorenoskopi,üriner sistem taşları

Proportional change of the stone surgery by year in our clinic

Abstract

Objective: Stone disease is one of the most common diseases in urology practice. In recent years, with developing technology, surgical techniques for urinary stone disease have changed. With the development of minimally invasive methods and devices, this change has accelerated in recent years. In this study we search retrospectively the urological stone operations that we performed between 2003-2010. Material and Methods: Thousand and four stone cases operation in our clinic between 2003- 2010 were retrospectively reviewed. In this review we determined patients’ age, demographic characteristics, operation type and rate of changes by years. Results: The mean age was 48.2 ± 11.6. Of these patients 485 48.3% were female and 519 51.7% male. 173 operations were performed for bladder stones; of these operations 86 49.7% were cystolithotomy and 85 50.3% were endoscopic cystolithotripsy. Of the 484 surgery performed for ureteral stones, 114 23.6% were ureterolithotomy and 370 76.4% were ureterorenoscopy. In 2003, only 45,2 % of bladder stone operation was performed endoscopic; but in 2010 this rate was increased to 57,2 %. Endoscopic surgery for ureteral stones, the rate was 54,1 % in 2003; but in 2010 this rate was increased to 87,7 %. When we look at the surgical techniques over the years, in 2003 open stone surgery was mainly performed when PNL was not done; but in 2010 minimal invasive techniques like PNL 60,7 % was more often preferred. Conclusions: With the development of minimally invasive methods, tools and practice that performed one of the most common disease in urology practice; a marked change for stone surgery observed. Open surgery rates declining in past years, because of less invasive methods has often done in practice

Keywords

• cystolithotripsy,percutaneous nephrolithotomy,ureterorenoscopy,urinary system stones

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