Perkutan Nefrolitotomide Komplikasyonları Öngörebilir Miyiz?

Yıl 2019, Cilt: 2 Sayı: 2, 63 - 67, 03.08.2019

Erkan Arslan Hakan Türk

https://doi.org/10.33713/egetbd.532368

Öz

Giriş: Perkutan Nefrolitotomi
operasyonunun başarı oranının yüksek olması yanında işlem sırasında veya
sonrasında bazen ciddi boyutlarda komplikasyonlar görülebilmektedir.  Çalışmamızda Perkutan
Nefrolitotomi operasyonlarında başarıyı ve
gelişebilecek komplikasyonları öngörebilmeyi sağlayacak faktörleri bulmayı
amaçladık.

Materyal – metod: Kliniğimizde 481
renal üniteye uygulanan PNL operasyonları, toplam renal ünite temel alınıp
olgular komplikasyon görülen ve komplikasyon görülmeyen olarak iki gruba
ayrıldı. Kan transfüzyonu gerektiren klinik durum, ateş, üreter taşı, kolon,
plevra yaralanması ve arterio-venöz fistül gibi komplikasyonlar
karşılaştırıldı.

Bulgular: Araştırmada post operatif
komplikasyon görülen grubun yaş ortalaması, komplikasyon görülmeyen grubunkine
göre anlamlı düzeyde daha yüksektir. Bununla birlikte pelvise yerleşen taşlarda
komplikasyon görülme sıklığı kaliks ve kaliks+pelivise yerleşenlerinkine göre
anlamlı düzeyde daha düşükken, kaliks+pelvise yerleşen taşlarda komplikasyon
görülme sıklığı diğer gruplarınkine göre anlamlı düzeyde daha yüksek
saptanmıştır.

Sonuç:
Çalışmamızda PNL operasyonlarında yaşın ve taşın
yerleşim yerinin komplikasyonları ön görebileceği gösterilmiştir. Yaşlı
hastalarda ve kompleks taşlarda komplikasyonlar açısından daha dikkatli
olunmalıdır

Anahtar Kelimeler

Perkutan Nefrolitotomi, komplikasyon, böbrek taşı

Can We Predict Complications In Percutaneous Nephrolithotomy?

Öz

Introduction:
 Percutaneous nephrolithotomy (PNL) has a high
success rate, but on the other hand, serious perioperative and postoperative
complications can be seen occasionally.  In
our study, we intended to identify the factors that might help us to predict
the success of PCNL and the complications that may develop.

Materials
and Methods: PNL operations performed
in 481 renal units in our clinic were divided into two groups as the cases with
and without complications. Complications
such as clinical conditions requiring blood transfusion, fever, ureteral
stones, colonic injury, pleural injury and arteriovenous fistulas were
compared.

Results: Mean
age was significantly higher in the group with postoperative complications in
comparison to the group without complication. However, the incidence of
complications was significantly lower in cases with pelvic stones in comparison
to those with calyx and calyx+pelvic stones, 
while the cases with calyx+pelvic stones had a significantly higher rate
of complications with respect to the other groups.

Conclusion:
It is demonstrated in our study that patient’s age and
stone localization can predict complications in PNL. More attention needs to be
paid to avoid complications in elderly patients and in complex stones.

Anahtar Kelimeler

Percutaneous nephrolithotomy, complication, renal stone

Kaynakça

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