Safety and Efficacy of Flexible Ureterorenoscopy Surgery in Different Age Groups.

Autor:	Koras O; Department of Urology, Faculty of Medicine, Mustafa Kemal University, Antakya/Hatay, Turkey., Bozkurt IH, Karakoyunlu AN; Department of Urology, HSU Izmir Bozyaka Training and Research Hospital, Izmir, Turkey., Polat S; Department of Urology, HSU Ankara Diskapi Training and Research Hospital, Ankara, Turkey., Yarimoglu S, Degirmenci T
Jazyk:	angličtina
Zdroj:	Journal of the College of Physicians and Surgeons--Pakistan : JCPSP [J Coll Physicians Surg Pak] 2021 Jun; Vol. 31 (6), pp. 679-685.
DOI:	10.29271/jcpsp.2021.06.679
Abstrakt:	Objective: To comparatively investigate the efficacy, safety and complications of flexible ureterorenoscopy (f-URS) in the treatment of patients of different age groups (<60, 60-74 and ≥75 years) with proximal ureteral and kidney stones. Study Design: Descriptive study. Place and Duration of Study: Department of Urology, HSU Izmir Bozyaka Training and Research Hospital, HSU Ankara Diskapi Training, Research Hospital, and Mustafa Kemal University Faculty of Medicine, between March 2014 and June 2020. Methodology: Nine hundred and fifty-six patients, who underwent f-URS due to proximal ureteral and kidney stones, were divided into three age groups as <60 years (Group 1), 60-74 years (Group 2) and ≥75 year (Group 3). The patients' American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), anticoagulant use, stone-free rates and surgical and medical complication rates were examined for each group. Results: There were 688 patients in Group 1, 230 in Group 2, and 38 in Group 3. A significant difference was observed between the age groups in terms of CCI and anticoagulant use (p<0.001 for both). The highest rate of medical complications was observed in Group 3 at 42.1%, followed by Group 2 at 17.8%, while the lowest rate was observed in Group 1 at 2.3% (p<0.001). As a result of the multivariate analysis, receiving anticoagulant treatment (p=0.002) and having a high CCI (p=0.005) were independent predictors of medical complication development. Conclusion: It was clearly demonstrated that f-URS could be used as a safe and effective alternative for the treatment of moderate-size kidney stones in all age groups. Key Words: Elderly, Geriatric patients, RIRS, Holmium laser lithotripsy, Urolithiasis, Safety, Efficacy.
Databáze:	MEDLINE
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