The importance of hydronephrosis in percutaneous nephrolithotomy operation
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 3
Abstract
The aim of this study is to investigate the relation between hydronephrosis grade and preoperative, peroperative and postoperative data and to evaluate the clinical significance of hydronephrosis in percutaneous nephrolithotomy (PNL). Methods: One hundred and thirty-two patients who had undergone PNL operation by same surgeon between February 2009 and February 2013 were reviewed retrospectively. Patients’ characteristics, preoperative kidney status, operative data were investigated. Grade 1, 2 hydronephrosis were determined as Group I, Grade 3, 4 hydronephrosis were determined as Group II. Preoperative, peroperative and postoperative property differences between groups were compared statistically. For the multivariate analysis, logistic regression analysis was used to determine independent predictors of hydronephrosis. Results: Patients mean age was 46.2±13.7 years (8-73). Operation mean time was 101(10-250) minutes. 56 and 76 patients’ data were analyzed in Group I and Group II, respectively. There was no difference in age, gender, BMI, and surgeon experience between groups. Dropping stone history in same kidney (p=0.012), stone diameter (p=0.022), the number of calyceal stones (p=0.005), presence stone in the other kidney (p=0.027), renal parenchymal thickness (p=0.026) and operation time (p=0.011) had significantly in univariate analysis. In logistic regression model, dropping stone history in the same kidney, the number of calyceal stones, presence stone in the other kidney and operation time had a relationship with hydronephrosis. Conclusion: In PNL, patients with low-grade hydronephrosis might have decreased complication rates due to diminished operation time, which resulted in reduced number of calyceal stones and stone size. Key words: Percutaneous nephrolithotomy, PNL, hydronephrosis, outcome
Authors and Affiliations
Mehmet Rifaioğlu, Onur Demirbaş, Mürsel Davarcı
Keywords
Related Articles
- EP ID EP93505
- DOI 10.5798/diclemedj.0921.2013.03.0306
- Views 169
- Downloads 0
Gebelikte görülen nadir bir durum: Mide kanseri
Gebelik sırasında mide kanseri oldukça nadir görülmektedir. Gebeliğe bağlı bulantı, kusma ve abdominal ağrı gibi gastrointestinal semptomlar hastalığın tanısını güçleştirmektedir. Tanı sırasında ise hasta ileri evre t...
The level of hopelessness in the students of an occupational education center and affecting factors
The aim of this survey was to define the hopelessness levels in the students of an occupational education center and the definition of the factors affecting them. Materials and methods: The survey is a descriptive type...
İntravezikal BCG immunoterapisini takiben gelişen Reiter sendromu: Olgu sunumu
İntravezikal Bacillus Calmette Guerin (BCG) , yüzeyel mesane karsinomlarının tedavisinde etkin ve güvenilir bir yöntemdir. Klinik olarak çok etkili olan bu tedavi yöntemi birçok yan etkiye sahiptir. Reiter Sendromu ise b...
Abdominal aort cerrahisinde intravenöz aminoasit infüzyonunun miyokardiyal fonksiyonlar ve postoperatif analjezi üzerine etkileri
Amaç: Abdominal aort cerrahisinde intravenöz aminoasit infüzyonunun miyokard ve postoperatif analjezi üzerine etkileri incelendi. Gereç ve yöntem: Ardışık 40 hasta genel anestezide aminoasit infüzyonu uygulanan ve uy...
Diabetik maküler ödemde subtenon triamsinolon ile kombine fokal lazer fotokoagülasyonun etkinliğinin değerlendirilmesi
Amaç: Bu çalışmanın amacı subtenon triamsinolon (ST) enjeksiyonu ile fokal lazer fotokoagülasyon kombinasyonunun diyabetik maküler ödem (DMÖ)’de etkinlik ve güvenilirliğinin araştırılmasıdır. Gereç ve yöntem: Diyabet...