The comparison of perioperative outcomes between percutaneous nephrolithotomy and retrograde intrarenal surgery in elderly patients
International Journal of Clinical Practice, cilt.75, sa.7, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 75 Sayı: 7
- Basım Tarihi: 2021
- Doi Numarası: 10.1111/ijcp.14221
- Dergi Adı: International Journal of Clinical Practice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, CINAHL, EMBASE, International Pharmaceutical Abstracts, MEDLINE
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: In this study, we aimed to compare the outcomes and complication rates of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in elderly patients. Materials and Methods: Between April 2011 and January 2020, patients who underwent PCNL and RIRS for renal stone in elderly patients were retrospectively evaluated. The two groups’ perioperative values, stone-free rates and complication rates were compared. Post-operative complications were noted according to the Clavien scoring system. Results: There were 89 and 72 patients in the PCNL and RIRS group respectively. The median age was 67 years in both the groups (P =.192). The stone size were 22.2 ± 3.5 mm and 19.9 ± 7.1 mm in the PCNL and RIRS group, respectively (P =.082). Stone-free rates were significantly higher in PCNL group (P =.021, P =.034). Also we found that overall complication and major complication rates were significantly higher in PCNL group (P =.016, P =.029). Conclusion: Despite there was higher stone clearance in PCNL, the complication rates were higher compared with RIRS. So RIRS might be a safe alternative treatment method to PCNL in older patients.