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
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
Yazar: Sarı, Sercan; Selmi, Volkan; Caniklioglu, Mehmet; Öztekin, Ünal; Gürtan, Emin; Işıkay, Levent
Dergi: Bozok Tıp Dergisi, Vol. 10 No. 1, 2020
Anahtar kelimeler: Health Care Administration ; Sağlık Kurumları Yönetimi ; 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

ÖZETAmaç: Bu çalışmada amaç, 2-4 cm arası böbrek taşların tedavisinde retrograd intrarenal cerrahi deneyimimiziaktarmaktır.Gereç ve Yöntem: Etik kurul onayı alındıktan sonra 2014-2019 arası veriler tarandı.2-4 cm arası taşı olupretrograd 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 14idi. 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.OrtalamaHounsfield ünitesi 1038±359.34 HU idi. Bir hastada orta pol taşı, sekiz hastada alt pol taşı, 1 hastadapelvis taşı, 2 hastada üreteropelvik bileşke taşı ve 6 hastada multikalisiyel taş mevcuttu.Ortalama operasyonsüresi 76.15±35.79 dakikaydı. Tüm hastalarda postoperatif JJ stent vardı. Ureteral akses kılıf 37 hastadakullanıldı.Taşsızlık 19 hastada sağlandı. Komplikasyonlar 3 hastada görüldü.Sonuç: Retrograd intrarenal cerrahi 2-4 cm böbrek taşı tedavisinde kullanılabilir. Güvenlik bu cerrahi içinavantajdır. Çoklu seans gerektirmesi ve maliyet bu yöntemin dezavantajlarıdır.Prospektif ve daha yüksekhasta sayılı çalışmalara ihtiyaç vardır.Anahtar kelimeler: Böbrek taşı; Deneyim; RIRCABSTRACTAim: The aim of this study was to report our retrograde intrarenal surgery experience for treatment of 2-4cm sized kidney stones.Materials and Methods: After local ethical committe approval, patient data between 2014-2019 wasreviewed. 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 weremale, fourteen patients were female.Ten patients had preoperative SWL history. Eleven patients hadpreoperative JJ stent. Seventeen patients had no operation history. The average stone size was 22.48±3.67mm. The average stone volume was 2049±1291.89 mm3 . Thirty one patients had opaque stones. Theaverage Hounsfield unit was 1038±359.34 HU. In terms of stone locations, one patient had mid polestone, eight patients had lower pole stone, one patient had pelvis stone , two patients had ureteropelvicjunction(UPJ) stone and six patients had multicaliceal stones. The mean operation time was 76.15±35.79min. All the patients had postoperative JJ stent. In 37 patients UAS was used. Nineteen patients were stonefree. Complicatons were seen in three patientsConclusion: Retrograde intrarenal surgery can be used for the treatment of 2-4 cm sized kidney stones. Safetyis an advantage for retrograde intrarenal surgery. Need for multiple sessions and cost are disadvantages ofretrograde intrarenal surgery. Studies with prospective design and with longer patient follow up are needed.Key words: Experience; Kidney Stones; RIRS

ÖZETAmaç: Bu çalışmada amaç, 2-4 cm arası böbrek taşların tedavisinde retrograd intrarenal cerrahi deneyimimiziaktarmaktır.Gereç ve Yöntem: Etik kurul onayı alındıktan sonra 2014-2019 arası veriler tarandı.2-4 cm arası taşı olupretrograd 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 14idi. 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.OrtalamaHounsfield ünitesi 1038±359.34 HU idi. Bir hastada orta pol taşı, sekiz hastada alt pol taşı, 1 hastadapelvis taşı, 2 hastada üreteropelvik bileşke taşı ve 6 hastada multikalisiyel taş mevcuttu.Ortalama operasyonsüresi 76.15±35.79 dakikaydı. Tüm hastalarda postoperatif JJ stent vardı. Ureteral akses kılıf 37 hastadakullanıldı.Taşsızlık 19 hastada sağlandı. Komplikasyonlar 3 hastada görüldü.Sonuç: Retrograd intrarenal cerrahi 2-4 cm böbrek taşı tedavisinde kullanılabilir. Güvenlik bu cerrahi içinavantajdır. Çoklu seans gerektirmesi ve maliyet bu yöntemin dezavantajlarıdır.Prospektif ve daha yüksekhasta sayılı çalışmalara ihtiyaç vardır.Anahtar kelimeler: Böbrek taşı; Deneyim; RIRCABSTRACTAim: The aim of this study was to report our retrograde intrarenal surgery experience for treatment of 2-4cm sized kidney stones.Materials and Methods: After local ethical committe approval, patient data between 2014-2019 wasreviewed. 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 weremale, fourteen patients were female.Ten patients had preoperative SWL history. Eleven patients hadpreoperative JJ stent. Seventeen patients had no operation history. The average stone size was 22.48±3.67mm. The average stone volume was 2049±1291.89 mm3 . Thirty one patients had opaque stones. Theaverage Hounsfield unit was 1038±359.34 HU. In terms of stone locations, one patient had mid polestone, eight patients had lower pole stone, one patient had pelvis stone , two patients had ureteropelvicjunction(UPJ) stone and six patients had multicaliceal stones. The mean operation time was 76.15±35.79min. All the patients had postoperative JJ stent. In 37 patients UAS was used. Nineteen patients were stonefree. Complicatons were seen in three patientsConclusion: Retrograde intrarenal surgery can be used for the treatment of 2-4 cm sized kidney stones. Safetyis an advantage for retrograde intrarenal surgery. Need for multiple sessions and cost are disadvantages ofretrograde intrarenal surgery. Studies with prospective design and with longer patient follow up are needed.Key words: Experience; Kidney Stones; RIRS