老人無管化經皮穿腎取石術在區域醫院的三年經驗
林健煇1; 林威宇1; 黃國財1; 黃雲慶1; 何東儒1; 陳志碩1;邱國雄2
1嘉義長庚紀念醫院泌尿外科;2嘉義長庚紀念醫院開刀房
Experience of tubeless percutaneous nephrolithotomy in patients>65 years old at Rural Community teaching hospital
Jian-Hui Lin1; Wei-Yu Lin1; Kuo-Cai Huang1; Yung-Chin Huang1; Dong-Ru Ho1; Chih-Shou Chen1; Kuo-Hsiung Chiu2
1. Division of Urology, Chang-Gung Memorial Hospital at Chia-Yi, Taiwan;
2. Operative assistance nurse, Chang-Gung Memorial Hospital at Chia-Yi, Taiwan
Purpose: To report our experience about tubeless percutaneous nephrolithotomy concerning the renal or ureteral stones management while the patients >65 years old at Rural Community teaching hospital
Materials and Methods: A total 150 patients with renal stones and upper ureter stones were included from Jun 2013 to Dec 2015. The patients are treated with tubeless percutaneous nephrolithotomy with or without the lithocast. The effectiveness , safety and complication of the operation for the elderly patients will be evaluated. The patients were subgroup to >=65 years old or <65 years old.
Results: We reviewed the records of 150 patients undergoing tubeless percutaneous nephrolithotomy with or without the lithocast for renal stones or upper ureter stones. The group 1>=65 years old was 50 patients and the group2 < 65 years old was 100 patients. The mean operation time was 160 minutes. No significant difference was found between the groups in the level of hemoglobin, Clavien-Dindo score, preoperative blood transfusion and rate of success.
Conclusions: Tubeless percutaneous nephrolithotomy was safe and effective for the geriatric population. The older age was not a contraindication for the tubeless percutaneous nephrolithotomy but a recommendation.
Key words: Renal stone, upper ureter stone, Tubeless, elderly, geriatric,
percutaneous nephrolithotomy.