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Amaç: Erişkin hastalarda olduğu gibi çocuk hastaların böbrek taşı tedavisinde de etkili ve güvenle kullanılan perkütan nefrolitotomi PNL ameliyatının sık görülen komplikasyonlarından birisi kanamadır. Bu retrospektif çalışma ile pediatrik PNL olgularında kanamayı etkileyen faktörlerin belirlenmesini amaçladık.Gereç ve Yöntemler: Ocak 2010 ve Mayıs 2018 tarihleri arasında kliniğimizde 57 çocuk hastaya 24 kız, 33 erkek uygulanan 61 pediatrik PNL ameliyatının sonuçları retrospektif olarak değerlendirildi. Bulgular: Hasta popülasyonunun medyan yaşı 13 olarak saptandı. Hastalarımızın medyan taş yükü 420 mm2 iken, taşların %47,5’i kompleks taş özelliğindeydi. Hastaların %88,5’ine tek akses yapıldı ve akseslerin %83,6’sı infrakostal seviyeden gerçekleştirildi. PNL prosedürlerinden sonra ortalama hemoglobin ve hematokrit Htc düşüşü sırasıyla 1,1±1,15 mg/dl ve %3,23±3,26 olarak bulundu. Kan transfüzyonu yapılan hastalarda n=4, %6,5 hemoglobin ve Htcʼde ortalama düşüş sırasıyla 3,1±0,8 mg/dl ve %10,3±2,8 olarak saptandı. Medyan operasyon süresi 90 dk olarak saptandı. Çalışmamızda sadece operasyon süresinin uzun olması, pediatrik PNL olgularında artmış kan kaybıyla anlamlı olarak ilişkili bulundu p
Purpose: As in adult patients, one of the common complications of the percutaneous nefrolithotomy PNL surgery used effectively and safely in the treatment of kidney stones is blood. With this retrospective study, we aimed at determining the factors affecting the bleeding in pediatric PNL incidents.Caracteristics and methods: between January 2010 and May 2018 at our clinic, the results of the 61 pediatric PNL surgery, which was performed by 24 girls and 33 men, were evaluated retrospective. The average age of the patient population is 13 years old. Our patients had a medium stone load of 420 mm2, while 47.5% of stones were complex stones. 88.5 percent of patients received single access and 83.6 percent of accesses were made from the infrared level. After PNL procedures, the average decrease in hemoglobin and hematocrit Htc was 1.1±1.15 mg/dl and 3.23±3.26% respectively. The average decrease in hemoglobin and Htc was observed at n=4, 6.5% and 3.1 ± 0.8 mg/dl and 10.3 ± 2.8% respectively. The median operation time was determined to 90 min. Our study found that only the long duration of the surgery was significantly associated with increased blood loss in pediatric PNL events.
Objective: One of the most common complications of percutaneous nephrolithotomy PNL , which is also used in the treatment of kidney stones in pediatric patients as in adult patients, is bleeding. In this retrospective study, we aimed to determine the factors affecting bleeding which is a complication of pediatric percutaneous nephrolithotomy. Material and Methods: The results of 61 pediatric PNL operations performed between January 2010 and May 2018 in 57 pediatric patients 24 girls, 33 boys at our clinic were evaluated retrospectively.Results: The median age of the patients was 13 years. The median stone load of our patients was 420 mm2 and 47.5% of the stones were complex stones. Single access was performed in 88.5% of the patients and 83.6% of the accesses were performed at the infracostal level. After PNL procedures, the mean hemoglobin and Htc decrease were 1.1±1.15 mg/dl and 3.23±3.26%, respectively. In patients with blood transfusion n=4, 6.5% the mean decrease in hemoglobin and Htc was 3.1±0.8 mg/dl and 10.3±2.8%, respectively. The median operation time was 90 minutes. Univariate linear regression analysis found that longer operation time p
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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