How safe and effective is stentless laparoscopic ureterolithotomy in elderly patients?
| dc.contributor.author | Aydın, Cemil | |
| dc.contributor.author | Akkoç, Ali | |
| dc.contributor.author | Aydın, Zeynep Banu | |
| dc.date.accessioned | 2023-11-30T06:41:37Z | |
| dc.date.available | 2023-11-30T06:41:37Z | |
| dc.date.issued | 2021 | |
| dc.department | ALKÜ, Fakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü | |
| dc.description.abstract | Purpose: With the improvement of minimally invasive urology procedures, open surgical interventions are less common to treat ureteral calculus. Laparoscopic ureterolithotomy (LU) indications are large multiple and/or impacted ureteral calculus that may not be treated with shock-wave lithotripsy or ureterorenoscopy approaches. The aim of our study was to investigate the feasibility and safety of stentless LU in elderly patients. Methods: Between October 2011 and December 2019, 38 geriatric patients underwent stentless transperitoneal LU for upper/mid ureteral calculi. The transperitoneal route was applied in all patients by two surgeons. No double J stent inserted in any patient. The data of all patients reviewed retrospectively. Results: The average age was 64.60 ± 3.70 years. The mean calculi size was 19.42 ± 1.41 mm. Ten patients had unsuccessful shock wave lithotripsy or ureterorenoscopy history. The calculi-free rate was 100%. Clavien grade 1 complications were seen in 11 (28.9%) cases. No major perioperative and postoperative complications were encountered. The average length of hospital stay was 3.24 ± 1.53 days. Conclusion: The significant advances in medical technology and healthcare, lead a rising number of geriatric patients to take benefit of even complicated surgery. Although laparoscopy and its safety in the geriatric population pursues a challenge and the assessment of this procedure is hence obligatory, we think that stentless LU is safe, economical and less uncomfortable for elderly patients. | |
| dc.identifier.doi | 10.1111/ijcp.14308 | |
| dc.identifier.issue | 8 | en_US |
| dc.identifier.scopusquality | Q1 | |
| dc.identifier.uri | https://www.scopus.com/record/display.uri?eid=2-s2.0-85105633699&origin=resultslist&sort=plf-f&src=s&nlo=&nlr=&nls=&sid=20c4fe371b9b908d4f7e419f791331ff&sot=aff&sdt=cl&cluster=scofreetoread%2c%22all%22%2ct&sl=72&s=AF-ID%28%22Alanya+Alaaddin+Keykubat+University%22+60198720%29+AND+SUBJAREA%28MEDI%29&relpos=103&citeCnt=0&searchTerm= | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12868/2438 | |
| dc.identifier.uri | https://onlinelibrary.wiley.com/doi/pdf/10.1111/ijcp.14308?utm_source=scopus&getft_integrator=scopus | |
| dc.identifier.volume | 75 | en_US |
| dc.indekslendigikaynak | Scopus | |
| dc.language.iso | en | |
| dc.relation.ispartof | International Journal of Clinical Practice | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/closedAccess | |
| dc.title | How safe and effective is stentless laparoscopic ureterolithotomy in elderly patients? | |
| dc.type | Article |
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