TY  - JOUR
T1  - Feasibility of percutaneous nephrolithotomy after urology residency training in the 2nd stage state hospital
TT  - Uzmanlık eğitimi sonrasi perkütan nefrolitotominin 2. basamak ilçe devlet hastanesinde uygulanabilirliği
AU  - Sevim, Mehmet
AU  - Alkış, Okan
AU  - Kartal, İbrahim
AU  - Aras, Bekir
PY  - 2022
DA  - April
Y2  - 2021
DO  - 10.31362/patd.972916
JF  - Pamukkale Medical Journal
JO  - Pam Tıp Derg
PB  - Pamukkale Üniversitesi
WT  - DergiPark
SN  - 1308-0865
SP  - 337
EP  - 343
VL  - 15
IS  - 2
LA  - en
AB  - Purpose: It was aimed to evaluate the results and complications of percutaneous nephrolithotomy (PCNL) in asecond stage state hospital by a surgeon after Urology residency.Materials and methods: Between January 2019 and January 2020, PCNL was applied to 102 renal units in 97patients with kidney stones in a second stage state hospital. Standard PCNL was performed in all patients in theprone position with a 26 Fr rigid nephroscope and pneumatic lithotripter. The data of the patients were collectedretrospectively. Success rates, length of stay, and complications were evaluated in the light of the literature.Results: The average age of 97 patients who underwent PCNL was 41.7±10.5 (8-71) and 54 (55.7%) of thesepatients were male and 43 (44.3%) were female. Access was provided to 102 renal units. 42 (41.2%) of themwere left and 60 (58.8%) were right. The mean stone surface area was 8.3±5.5 (2-34) cm2 and the numberof stones per patient was 2.4. Operation time was measured as 85>32 (40-170) minutes. The duration offluoroscopy was observed as 1.2±0.2 (0.5-9) minutes. The stone free rate was achieved in 86 (84.3%) of 102cases. Including clinically insignificant residual fragments (>4 mm), the overall success rate was 93.1%. Thehospital stay of the patients was 2.7 (1-11) days. The number of patients with major and minor complications was21 (20.6%).Conclusion: We thought that PCNL can be applied safely and effectively in 2nd stage state hospitals withacceptable complications and success rates in line by the literature.
KW  - Percutaneous nephrolithotomy
KW  - kidney stone
KW  - complication
N2  - Amaç: Bu çalışmada; uzmanlık eğitimi sonrasında perkütan nefrolitotomiyi (PNL) 2. basamak ilçe devlethastanesinde gerçekleştiren bir cerrahın başarı oranları ve karşılaşılan komplikasyonları değerlendirmekamaçlandı.Gereç ve yöntem: Ocak 2019 ile Ocak 2020 tarihleri arasında böbrek taşı olan 97 hastadaki 102 renal üniteye2. basamak devlet hastanesinde PNL uygulandı. Tüm hastalara standart PNL 26 Fr rijit nefroskop ve pnömotiklitotriptör kullanılarak prone pozisyonda uygulandı. Hastaların verileri retrospektif olarak toplandı. Başarıoranları, yatış süreleri, karşılaşılan komplikasyonlar literatür eşliğinde değerlendirildi.Bulgular: PNL yapılan 97 hastanın yaş ortalaması 41,7±10,5 ve bu hastaların 54’ü (%55,7) erkek, 43’ü (%44,3)kadındı. 42’si (%41,2) sol, 60’ı (%58,8) sağ böbrek olmak üzere 102 renal üniteye giriş sağlandı. Ortalamataş yükü 8,3±5,5 cm2 ve ortalama taş sayısı 2,4 olarak tespit edildi. Operasyon süresi ortalama 85±32 dakikaolarak ölçüldü. Skopi süresi ortalama 1,2±0,2 dakika olarak izlendi. Toplam 102 vakanın 86’sında (%84,3)taşsızlık sağlandı. Klinik önemsiz rezidüel fragmanlar (>4 mm) da dahil edildiğinde genel başarı oranı %93,1idi. Hastaların hastanede kalış süresi 2,7 (1-11) gün olarak izlendi. Majör ve minör komplikasyon görülen hastasayısı 21 (%20,6)’di.Sonuç: PNL uzmanlık eğitimi sonrası 2. basamak ilçe devlet hastanelerinde literatürle uyumlu komplikasyon vebaşarı oranları ile güvenli ve etkin bir şekilde uygulanabileceğini düşünmekteyiz.
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UR  - https://doi.org/10.31362/patd.972916
L1  - https://dergipark.org.tr/tr/download/article-file/1886348
ER  -