Feasibility of percutaneous nephrolithotomy after urology residency training in the 2nd stage state hospital Uzmanlık eğitimi sonrasi perkütan nefrolitotominin 2. basamak ilçe devlet hastanesinde uygulanabilirliği
Pamukkale Medical Journal, cilt.15, sa.2, ss.337-343, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.31362/patd.972916
- Dergi Adı: Pamukkale Medical Journal
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.337-343
- Anahtar Kelimeler: complication, kidney stone, Percutaneous nephrolithotomy
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Kütahya Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: It was aimed to evaluate the results and complications of percutaneous nephrolithotomy (PCNL) in a second stage state hospital by a surgeon after Urology residency. Materials and methods: Between January 2019 and January 2020, PCNL was applied to 102 renal units in 97 patients with kidney stones in a second stage state hospital. Standard PCNL was performed in all patients in the prone position with a 26 Fr rigid nephroscope and pneumatic lithotripter. The data of the patients were collected retrospectively. Success rates, length of stay, and complications were evaluated in the light of the literature. Results: The average age of 97 patients who underwent PCNL was 41.7±10.5 (8-71) and 54 (55.7%) of these patients were male and 43 (44.3%) were female. Access was provided to 102 renal units. 42 (41.2%) of them were left and 60 (58.8%) were right. The mean stone surface area was 8.3±5.5 (2-34) cm2 and the number of stones per patient was 2.4. Operation time was measured as 85>32 (40-170) minutes. The duration of fluoroscopy was observed as 1.2±0.2 (0.5-9) minutes. The stone free rate was achieved in 86 (84.3%) of 102 cases. Including clinically insignificant residual fragments (>4 mm), the overall success rate was 93.1%. The hospital stay of the patients was 2.7 (1-11) days. The number of patients with major and minor complications was 21 (20.6%). Conclusion: We thought that PCNL can be applied safely and effectively in 2nd stage state hospitals with acceptable complications and success rates in line by the literature.