Aydemir Hüseyin, Budak Salih, Kumsar Şükrü, Köse Osman, Sağlam Hasan Salih, Adsan Öztuğ
Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
Turk J Urol. 2014 Sep;40(3):144-9. doi: 10.5152/tud.2014.40360.
In this study, we aimed to evaluate, the efficacy of surgical methods and the factors affecting the residual stone rate by scrutinizing retrospectively the patients who had undergone renal stone surgery.
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 surgical 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.
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 cm(2) 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 detected in the PNL (n=22), open surgery (n=2), and RIRS (n=5) groups.
PNL and RIRS have been seen as safe and effective methods in our self application too. However, it should not be forgotten that as a basical method, open surgery may be needed in cases of necessity.
在本研究中，我们旨在通过回顾性分析接受肾结石手术的患者，评估手术方法的疗效以及影响残余结石率的因素。
回顾性分析2010年1月至2013年7月期间接受手术治疗的109例肾结石患者的记录。根据手术治疗方式将患者分为三组；开放性取石手术、经皮肾镜取石术（PNL）和逆行肾内手术（RIRS）。记录患者的病史、体格检查、生化及影像学资料以及手术和术后数据。
患者接受了经皮肾镜取石术（n = 74；67.9%）、逆行肾内手术（n = 22；20.2%）和开放性肾脏手术（n = 13；11.9%）。患者的平均年龄和中位数年龄分别为46±9岁、41岁（21 - 75岁）和42岁（23 - 67岁）。经皮肾镜取石术组的平均结石负荷为2.6±0.7 cm²，逆行肾内手术组为1.4±0.1 cm²，开放性手术组为3.1±0.9 cm²。经皮肾镜取石术组的平均手术时间为126±24分钟，逆行肾内手术组为72±12分钟，开放性手术组为82±22分钟。住院时间分别为3.1±0.2天、1.2±0.3天和3.4±1.1天。逆行肾内手术组无需输血，而经皮肾镜取石术组（n = 18）和开放性手术组（n = 2）有输血情况。在经皮肾镜取石术组（n = 22）、开放性手术组（n = 2）和逆行肾内手术组（n = 5）中检测到残余结石。
在我们自己的应用中，经皮肾镜取石术和逆行肾内手术也被视为安全有效的方法。然而，不应忘记，作为一种基本方法，在必要情况下可能仍需要开放性手术。
