Author/Authors :
Çelik, Hüseyin İnönü Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey , Ediz, Caner İnönü Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey , Çamtosun, Ahmet İnönü Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey , Altıntaş, Ramazan İnönü Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey , Taşdemir, Cemal İnönü Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey
Abstract :
Objective: Percutaneous nephrolithotomy (PNL) is a minimally invasive method used safely in surgical treatment of kidney stones in the world. The first PNL surgery performed in our clinic in March 1998 and first PNL surgery was performed in June 2000 over the age of seventy which was bilaterally side. In our study, PNL operations performed for 75 years and older patients were examined.Methods: PNL operations were performed under the general anesthesia. After cystoscopy in the supine position, ureteral catheter was inserted accompanied by C-arm fluoroscopy. Afterwards, patients were taken prone position then we entered into the kidney with a metal needle with fluoroscopic on. We dilated the entrance with Amplatzer renal dilatators set until the 30 F. After the procedure, the nephrostomy catheter was placed in the renal sheath. 4 mm residual fragments after the PNL operation were accepted as clinically insignificant stone residues (CIRF).Results: 3003 PNL procedures were performed between dates March 1998 - December 2014 in total 16 years. 28 patients of total were 75 years and over. 29 PNL surgeries performed to these patients, including one bilateral PNL procedure. Mean age was 79.36 years (75-88). Twenty (74%) of the patients were concluded stone free. 2 patients had tubeless PNL surgery. There was no another complication.Conclusion: PNL is a minimally invasive method has became advantageous according to open surgery because of higher safety, lower complication rates, shorter hospitalization stay, more patient comfort and higher stone free rates. PNL is a safe and effective method in the surgical treatment of urinary tract stone diseases.
