Araştırma Makalesi

YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones

Cilt: 10 Sayı: 1 25 Mart 2020
  • Sercan Sarı *
  • Volkan Selmi
  • Mehmet Caniklioglu
  • Ünal Öztekin
  • Emin Gürtan
  • Levent Işıkay
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Bozok Tıp Dergisi
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YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones

Öz

ÖZET Amaç: Bu çalışmada amaç, 2-4 cm arası böbrek taşların tedavisinde retrograd intrarenal cerrahi deneyimimizi aktarmaktır. Gereç ve Yöntem: Etik kurul onayı alındıktan sonra 2014-2019 arası veriler tarandı.2-4 cm arası taşı olup retrograd intrarenal cerrahi uygulanan hastalar çalışmaya dahil edildi. 18 yaş altı olan hastalar çıkarıldı. Bulgular: Çalışmaya 40 hasta alındı.Ortalama yaş 49.02±17.56 idi.Erkek hasta sayısı 26, kadın hasta sayısı 14 idi. SWL öyküsü olan 10 hasta vardı. Preoperatif 11 hastanın JJ stenti mevcuttu.Primer olan 17 hasta vardı. Ortalama taş boyutu 22.48±3.67 mm, taş volümü 2049±1291.89 mm3’tü.Opak taş 31 hastada vardı.Ortalama Hounsfield ünitesi 1038±359.34 HU idi. Bir hastada orta pol taşı, sekiz hastada alt pol taşı, 1 hastada pelvis taşı, 2 hastada üreteropelvik bileşke taşı ve 6 hastada multikalisiyel taş mevcuttu.Ortalama operasyon süresi 76.15±35.79 dakikaydı. Tüm hastalarda postoperatif JJ stent vardı. Ureteral akses kılıf 37 hastada kullanıldı.Taşsızlık 19 hastada sağlandı. Komplikasyonlar 3 hastada görüldü. Sonuç: Retrograd intrarenal cerrahi 2-4 cm böbrek taşı tedavisinde kullanılabilir. Güvenlik bu cerrahi için avantajdır. Çoklu seans gerektirmesi ve maliyet bu yöntemin dezavantajlarıdır.Prospektif ve daha yüksek hasta sayılı çalışmalara ihtiyaç vardır. Anahtar kelimeler: Böbrek taşı; Deneyim; RIRC ABSTRACT Aim: The aim of this study was to report our retrograde intrarenal surgery experience for treatment of 2-4 cm sized kidney stones. Materials and Methods: After local ethical committe approval, patient data between 2014-2019 was reviewed. Patients who had been undergone RIRS for 2-4cm sized kidney stones were included. Patients < 18 y old were excluded. Results: There were 40 patients in our study. The average age was 49.02±17.56. Twenty six patients were male, fourteen patients were female.Ten patients had preoperative SWL history. Eleven patients had preoperative JJ stent. Seventeen patients had no operation history. The average stone size was 22.48±3.67 mm. The average stone volume was 2049±1291.89 mm3 . Thirty one patients had opaque stones. The average Hounsfield unit was 1038±359.34 HU. In terms of stone locations, one patient had mid pole stone, eight patients had lower pole stone, one patient had pelvis stone , two patients had ureteropelvic junction(UPJ) stone and six patients had multicaliceal stones. The mean operation time was 76.15±35.79 min. All the patients had postoperative JJ stent. In 37 patients UAS was used. Nineteen patients were stone free. Complicatons were seen in three patients Conclusion: Retrograde intrarenal surgery can be used for the treatment of 2-4 cm sized kidney stones. Safety is an advantage for retrograde intrarenal surgery. Need for multiple sessions and cost are disadvantages of retrograde intrarenal surgery. Studies with prospective design and with longer patient follow up are needed. Key words: Experience; Kidney Stones; RIRS

Anahtar Kelimeler

Kaynakça

  1. 1. Pearle MS, Lotan Y. Urinary Lithiasis: Etiology, Epidemiology and Pathogenesis. In: Walsh PC(Eds.). Campbell’s Urology. 10th ed. New York: Sounders; 2012:1258-1410 2. Zengin K, Tanik S, Karakoyunlu N, Sener NC, Albayrak S, Tuygun C, et al. Retrograde intrarenal surgery versus percutaneous lithotripsy to treat renal stones 2-3 cm in diameter. Biomed Res Int. 2015; 2015: 914231. doi: 10.1155/2015/914231. Epub 2015 Mar 3. PMID: 25821828; PMCID: PMC4363980. 3. Karakoyunlu N, Goktug G, Sener NC, Zengin K, Nalbant I, Ozturk U, et al. A comparison of standard PCNL and staged retrograde FURS in pelvis stones over 2 cm in diameter: a prospective randomized study. Urolithiasis. 2015;43(3):283–7. Epub 2015/04/04. 10.1007/s00240-015-0768-2 4. Chang KD, Lee JY, Park SY, Kang DH, Lee HH, Cho KS. Impact of Pretreatment Hydronephrosis on the Success Rate of Shock Wave Lithotripsy in Patients with Ureteral Stone. Yonsei Med J. 2017 Sep;58(5):1000-1005. doi: 10.3349/ymj.2017.58.5.1000. PMID: 28792145; PMCID: PMC5552626. 5. Turk C, Petrik A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016;69(3):475–82. Epub 2015/09/08. 10.1016/j.eururo.2015.07.041 . 6. Michel MS, Trojan L and Rassweiler JJ: Complications in percutaneous nephrolithotomy. Eur. Urol. 2007; 51: 899– 906; discussion 906. 7. Fuchs AM and Fuchs GJ: Retrograde intrarenal surgery for calculus disease: new minimally invasive treatment approach. J. Endourol. 1990; 4: 337–45. 8. Paffen ML, Keizer JG, de Winter GV, Arends AJ, Hendrikx AJ. A comparison of the physical properties of four new generation flexible ureteroscopes: (de)flection, flow properties, torsion stiffness, and optical characteristics. J Endourol. 2008;22:2227–2234. 9. Akman T, Binbay M, Ozgor F, Ugurlu M, Tekinarslan E, Kezer C, et al. Comparison of percutaneous nephrolithotomy and retrograde flexible nephrolithotripsy for the management of 2–4 cm stones: A matched-pair analysis. BJU Int. 2012;109:1384–1389. doi: 10.1111/j.1464-410X.2011.10691.x 10. Bryniarski P, Paradysz A, Zyczkowski M, Kupilas A, Nowakowski K, Bogacki R. A randomized controlled study to analyze the safety and efficacy of percutaneous nephrolithotripsy and retrograde intrarenal surgery in the management of renal stones more than 2 cm in diameter. J. Endourol. 2012 Jan;26(1):52-7. doi: 10.1089/end.2011.0235. Epub 2011 Oct 17.

Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Sercan Sarı * Bu kişi benim
Türkiye

Volkan Selmi Bu kişi benim
Türkiye

Mehmet Caniklioglu Bu kişi benim
Türkiye

Ünal Öztekin Bu kişi benim
Türkiye

Emin Gürtan Bu kişi benim
Türkiye

Levent Işıkay Bu kişi benim
Türkiye

Yayımlanma Tarihi

25 Mart 2020

Gönderilme Tarihi

1 Mart 2020

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2020 Cilt: 10 Sayı: 1

DOI

https://doi.org/10.16919/bozoktip.630481

IZ

https://izlik.org/JA47RP48CA

Kaynak Göster

RIS / Bibtex
APA
Sarı, S., Selmi, V., Caniklioglu, M., Öztekin, Ü., Gürtan, E., & Işıkay, L. (2020). YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones. Bozok Tıp Dergisi, 10(1), 150-153. https://doi.org/10.16919/bozoktip.630481
AMA
1.Sarı S, Selmi V, Caniklioglu M, Öztekin Ü, Gürtan E, Işıkay L. YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones. Bozok Tıp Dergisi. 2020;10(1):150-153. doi:10.16919/bozoktip.630481
Chicago
Sarı, Sercan, Volkan Selmi, Mehmet Caniklioglu, Ünal Öztekin, Emin Gürtan, ve Levent Işıkay. 2020. “YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones”. Bozok Tıp Dergisi 10 (1): 150-53. https://doi.org/10.16919/bozoktip.630481.
EndNote
Sarı S, Selmi V, Caniklioglu M, Öztekin Ü, Gürtan E, Işıkay L (01 Mart 2020) YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones. Bozok Tıp Dergisi 10 1 150–153.
IEEE
[1]S. Sarı, V. Selmi, M. Caniklioglu, Ü. Öztekin, E. Gürtan, ve L. Işıkay, “YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones”, Bozok Tıp Dergisi, c. 10, sy 1, ss. 150–153, Mar. 2020, doi: 10.16919/bozoktip.630481.
ISNAD
Sarı, Sercan - Selmi, Volkan - Caniklioglu, Mehmet - Öztekin, Ünal - Gürtan, Emin - Işıkay, Levent. “YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones”. Bozok Tıp Dergisi 10/1 (01 Mart 2020): 150-153. https://doi.org/10.16919/bozoktip.630481.
JAMA
1.Sarı S, Selmi V, Caniklioglu M, Öztekin Ü, Gürtan E, Işıkay L. YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones. Bozok Tıp Dergisi. 2020;10:150–153.
MLA
Sarı, Sercan, vd. “YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones”. Bozok Tıp Dergisi, c. 10, sy 1, Mart 2020, ss. 150-3, doi:10.16919/bozoktip.630481.
Vancouver
1.Sercan Sarı, Volkan Selmi, Mehmet Caniklioglu, Ünal Öztekin, Emin Gürtan, Levent Işıkay. YOZGAT BOZOK UNİVERSİTESİ 2-4 CM BÖBREK TAŞLARI TEDAVİSİNDE RETROGRAD İNTRARENAL CERRAHİ DENEYİMİMİZ Yozgat Bozok University Retrograde Intrarenal Surgery Experience For Treatment of 2-4 cm Kidney Stones. Bozok Tıp Dergisi. 01 Mart 2020;10(1):150-3. doi:10.16919/bozoktip.630481