Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightHow- ever, it should not be forgotten that as a basical method, open surgery may be needed in cases of necessity.
📌 3 Maddede Bu Makale
Abstract
Objective: In this study, we aimed to evaluate, the effcacy of surgical methods and the factors affecting the residual stone rate by scrutinizing retrospectively the patients who had undergone renal stone surgery. Material and methods: Records of 109 cases of kidney stones who had been surgically treated between January 2010, and July 2013 were reviewed. Patients were divided into three groups in terms of surgi- cal treatment; open stone surgery, percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS). Patients history, physical examination, biochemical and radiological images and operative and postoperative data were recorded. Results: The patients had undergone PNL (n=74; 67.9%), RIRS (n=22;20.2%), and open renal surgery (n=13; 11.9%). The mean and median ages of the patients were 46±9, 41 (21-75) and, 42 (23-67) years, respectively. The mean stone burden was 2.6±0.7 cm 2 in the PNL, 1.4±0.1 cm 2 in the RIRS, and 3.1±0.9 cm2 in the open surgery groups. The mean operative times were 126±24 min in the PNL group, 72±12 min in the RIRS group and 82±22 min in the open surgery group. The duration of hospitalisation was 3.1±0.2 days, 1.2±0.3 days and 3.4±1.1 days respectively. While the RIRS group did not need blood transfusion, in the PNL group blood transfusions were given in the PNL (n=18), and open surgery (n=2) groups. Residual stones were de - tected in the PNL (n=22), open surgery (n=2), and RIRS (n=5) groups. Conclusion: PNL and RIRS have been seen as safe and effective methods in our self application too. How- ever, it should not be forgotten that as a basical method, open surgery may be needed in cases of necessity.