Yıl: 2019 Cilt: 6 Sayı: 4 Sayfa Aralığı: 295 - 301 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2019.2967 İndeks Tarihi: 26-06-2020

Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate

Öz:
Objective: In this study, we aimed to evaluate and compare the effects of retrograde intrarenal surgery (RIRS) and schok wave lithoripsy (SWL)interventions on renal functions by analyzing glomerular filtration rate (GFR) values.Materials and Methods: A total of 95 patients, who underwent RIRS or SWL in 2017 at Gülhane Training and Research Hospital, were included inthis retrospective study. Forty-six of these patients (48.4%) were in RIRS group and 49 (51.6%) were in SWL group. Preoperative, early-postoperative(on the first postoperative day) and late-postoperative (on the first postoperative month) GFR values were calculated using the “abbreviatedModification of Diet in Renal Disease” Method. Changes in GFR values after RIRS and SWL treatments were compared statistically.Results: When the early postoperative and late postoperative GFR levels were compared, a statistically significant difference was observed betweenthe groups (p=0.04 and p<0.001, respectively). For RIRS group, there was a 0.37±13.5 mL/min/1.73 m² increase and for SWL group, there was5.65±12.5 mL/min/1.73 m² increase in GFR values in the early postoperative period. There was a 2.40±14.1 mL/min/1.73 m² decrease in RIRS groupand 7.75±11.8 mL/min/1.73 m² increase in SWL group in GFR values in the late postoperative period. In general linear model, there was a statisticallysignificant difference in changes in GFR over time between RIRS and SWL groups (p=0.002). There was also a statistically significant difference whenthe changes in GFR over time were compared according to stone locations (p=0.02).Conclusion: RIRS is associated with less improved GFR in comparison with SWL. SWL should be considered as first line treatment for kidney andureteral stones when considering the changes in GFR values comparing to RIRS especially for stones smaller than 20 mm.
Anahtar Kelime:

Retrograd İntrarenal Cerrahi veya Şok Dalga Litotripsi?: Renal Fonksiyonlar Üzerindeki Etkilerinin Glomerüler Filtrasyon Hızı ile Karşılaştırılması

Öz:
Amaç: Bu çalışmada, retrograd intrarenal cerrahi (RIRS) ve şok dalgası litotripsi (SWL) işlemlerinin renal fonksiyonlar üzerindeki etkisini glomerüler filtrasyon hızı ölçümü (GFR) ile değerlendirmeyi ve karşılaştırmayı amaçladık. Gereç ve Yöntem: 2017 yılında Gülhane Eğitim ve Araştırma Hastanesi’nde RIRS veya SWL işlemi uygulanan toplamda 95 hasta bu retrospektif çalışmaya dahil edildi. Hastaların 46’sı (%48,4) RIRS, 49’u ise (%51,6) SWL grubundaydı. Operasyon öncesi, operasyon sonrası erken dönem (post-op 1. gün) ve geç dönem (post-op 1. ay) GFR değerleri “abbreviated Modification of Diet in Renal Disease” yöntemi ile hesaplandı. RIRS ve SWL tedavisi sonrasındaki GFR düzeyindeki değişimler istatistiksel olarak karşılaştırıldı. Bulgular: Erken post-operatif ve geç post-operatif GFR düzeyleri karşılaştırıldığında gruplar arasında istatistiksel anlamlı farklılığın olduğu izlendi (sırasıyla, p=0,04 ve p<0,001). Erken post-operatif dönemde, RIRS grubunda 0,37±13,5 mL/min/1,73 m², SWL grubunda 5,65±12,5 mL/min/1,73 m² GFR düzeyinde artış olduğu izlendi. Geç post-operatif dönem GFR düzeylerinde, RIRS grubunda -2,40±14,1 mL/min/1,73 m² düşüş, SWL grubunda ise 7,75±11,8 mL/min/1,73 m² artış olduğu izlendi. Zamanla GFR değişiminin değerlendirildiği genel lineer model analizinde RIRS ve SWL grupları arasında istatistiksel farklılık olduğu izlendi (p=0,002). Ayrıca hastaların zamanla GFR değişimleri karşılaştırıldığında taş lokalizasyonuna göre de istatistiksel anlamlılık elde edildi (p=0,02). Sonuç: RIRS, SWL ile karşılaştırıldığında daha az düzelmiş GFR ile ilişkilidir. Özellikle çapı 20 mm’den daha küçük olan böbrek ve üreter taşlarında, GFR düzeylerindeki değişimler göz önüne alındığında SWL birincil tedavi seçeneği olarak düşünülmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA SARIKAYA S, Karsiyakali N, SİCİMLİ C, Kaya E, EBILOGLU T, BEDİR S, ÖZGÜRTAŞ T, KARATAŞ Ö (2019). Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. , 295 - 301. 10.4274/jus.galenos.2019.2967
Chicago SARIKAYA Selçuk,Karsiyakali Nejdet,SİCİMLİ CAN,Kaya Engin,EBILOGLU Turgay,BEDİR Selahattin,ÖZGÜRTAŞ Taner,KARATAŞ Ömer Faruk Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. (2019): 295 - 301. 10.4274/jus.galenos.2019.2967
MLA SARIKAYA Selçuk,Karsiyakali Nejdet,SİCİMLİ CAN,Kaya Engin,EBILOGLU Turgay,BEDİR Selahattin,ÖZGÜRTAŞ Taner,KARATAŞ Ömer Faruk Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. , 2019, ss.295 - 301. 10.4274/jus.galenos.2019.2967
AMA SARIKAYA S,Karsiyakali N,SİCİMLİ C,Kaya E,EBILOGLU T,BEDİR S,ÖZGÜRTAŞ T,KARATAŞ Ö Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. . 2019; 295 - 301. 10.4274/jus.galenos.2019.2967
Vancouver SARIKAYA S,Karsiyakali N,SİCİMLİ C,Kaya E,EBILOGLU T,BEDİR S,ÖZGÜRTAŞ T,KARATAŞ Ö Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. . 2019; 295 - 301. 10.4274/jus.galenos.2019.2967
IEEE SARIKAYA S,Karsiyakali N,SİCİMLİ C,Kaya E,EBILOGLU T,BEDİR S,ÖZGÜRTAŞ T,KARATAŞ Ö "Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate." , ss.295 - 301, 2019. 10.4274/jus.galenos.2019.2967
ISNAD SARIKAYA, Selçuk vd. "Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate". (2019), 295-301. https://doi.org/10.4274/jus.galenos.2019.2967
APA SARIKAYA S, Karsiyakali N, SİCİMLİ C, Kaya E, EBILOGLU T, BEDİR S, ÖZGÜRTAŞ T, KARATAŞ Ö (2019). Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. Journal of Urological Surgery, 6(4), 295 - 301. 10.4274/jus.galenos.2019.2967
Chicago SARIKAYA Selçuk,Karsiyakali Nejdet,SİCİMLİ CAN,Kaya Engin,EBILOGLU Turgay,BEDİR Selahattin,ÖZGÜRTAŞ Taner,KARATAŞ Ömer Faruk Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. Journal of Urological Surgery 6, no.4 (2019): 295 - 301. 10.4274/jus.galenos.2019.2967
MLA SARIKAYA Selçuk,Karsiyakali Nejdet,SİCİMLİ CAN,Kaya Engin,EBILOGLU Turgay,BEDİR Selahattin,ÖZGÜRTAŞ Taner,KARATAŞ Ömer Faruk Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. Journal of Urological Surgery, vol.6, no.4, 2019, ss.295 - 301. 10.4274/jus.galenos.2019.2967
AMA SARIKAYA S,Karsiyakali N,SİCİMLİ C,Kaya E,EBILOGLU T,BEDİR S,ÖZGÜRTAŞ T,KARATAŞ Ö Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. Journal of Urological Surgery. 2019; 6(4): 295 - 301. 10.4274/jus.galenos.2019.2967
Vancouver SARIKAYA S,Karsiyakali N,SİCİMLİ C,Kaya E,EBILOGLU T,BEDİR S,ÖZGÜRTAŞ T,KARATAŞ Ö Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate. Journal of Urological Surgery. 2019; 6(4): 295 - 301. 10.4274/jus.galenos.2019.2967
IEEE SARIKAYA S,Karsiyakali N,SİCİMLİ C,Kaya E,EBILOGLU T,BEDİR S,ÖZGÜRTAŞ T,KARATAŞ Ö "Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate." Journal of Urological Surgery, 6, ss.295 - 301, 2019. 10.4274/jus.galenos.2019.2967
ISNAD SARIKAYA, Selçuk vd. "Retrograde Intrarenal Surgery or Shock Wave Lithotripsy?: Comparison of the Effects on Renal Functions by Glomerular Filtration Rate". Journal of Urological Surgery 6/4 (2019), 295-301. https://doi.org/10.4274/jus.galenos.2019.2967