Our Retrograde Intrarenal Surgery Experience

Yıl 2019, Cilt: 6 Sayı: 2, 96 - 98, 29.08.2019

İlker Akarken Ömer Erdoğan , Hasan Deliktaş Hayrettin Şahin

Öz

To assess the results of Retrograde Intrarenal Surgery (RIRS) operations in our clinic. The data of 32 patients, who underwent RIRS operation for stone disease from February 2017 to February 2018, were retrospectively assessed. 10 of the patients were female, while 22 of the patients were male, and the mean age of the patients was 50.5 (17-80) years. We measured the mean stone diameter as 12.93 (6-25) mm. Mean operation, and fluoroscopy times were 56.56 (25-120) minute sand 53.03 (15-240) seconds, respectively. Ureteral accesss heath was used for all of the operations. 8 (25%) of the patients were pre-stented (double-j), while the 24 (75%) were not. All the patients were stented at the end of the operation and discharged from the hospital on the first day postoperatively. No complications occurred in the perioperative period. All of the patients were controlled at the first month after the discharge. 22 (68%) of the patients were stone-free. However, 5 (16%) patients had clinically in significant residual stone and the other 5 (16%) had residual stones. Retrograde intrarenal surgery is safe and effective surgical technique for renal stones.

Anahtar Kelimeler

Renal Stone, Flexible Ureterorenoscopy, Retrograde Intrarenal Surgery

Retrograd İntrarenal Cerrahi Deneyimimiz

Öz

Kliniğimizde Retrograd İntrarenal Cerrahi (RIRS) uygulanan olguların sonuçlarını değerlendirmek. Şubat 2017 ile Şubat 2018 tarihleri arasında, böbrek taşı nedeniyle RIRS yapılan 32 olgunun sonuçları retrospektif olarak değerlendirildi. Olguların 10’u kadın, 22’si erkek, yaş ortalaması 50.5 (17-80) yıl idi. Ortalama taş boyutu 12.93 (6-25) mm idi. Olguların 8’inde (%25) işlem öncesi double-j (D-J) stent varken, 24’ünde (%75) ise işlem öncesi stent uygulanmamıştı. İşlemlerin tamamında üretral giriş kılıfı kullanıldı. Ortalama operasyon süresi 56.56 (25-120) dakika, floroskopi süresi ise 53.03 (15-240) saniye olan işlemlerin tamamında operasyon sonrası D-J stent takıldı. Hastanede kalış süresi ortalama 1 gün olan olguların, 1. ay kontrollerinde, 22’sinde (%68) taşsızlık sağlanırken, 5’inde (%16) klinik önemsiz rezidüel taş ve 5’inde (%16) rezidüel taş saptandı. Perop hiçbir hastada komplikasyon gelişmedi. Retrogradintrarenal cerrahi böbrek taşı tedavisinde etkili ve güvenli bir cerrahi tekniktir.

Anahtar Kelimeler

Böbrek Taşı, Fleksibl Üreterorenoskop, Retrograd İntrarenal Cerrahi

Kaynakça

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