How safe and effective is stentless laparoscopic ureterolithotomy in elderly patients?

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dc.authoridAydin, Cemil / 0000-0002-7271-5748
dc.authoridAkkoç, Ali / 0000-0002-4325-1075
dc.contributor.authorAydın, Cemil
dc.contributor.authorAkkoç, Ali
dc.contributor.authorAydın, Zeynep Banu
dc.date.accessioned2021-11-01T15:05:31Z
dc.date.available2021-11-01T15:05:31Z
dc.date.issued2021
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractPurpose 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.citationAydin, C., Akkoc, A., & Aydin, Z. B. (2021). How safe and effective is stentless laparoscopic ureterolithotomy in elderly patients?. International Journal of Clinical Practice, 75(8).
dc.identifier.doi10.1111/ijcp.14308
dc.identifier.issn1368-5031
dc.identifier.issn1742-1241
dc.identifier.issue8en_US
dc.identifier.pmid33928719
dc.identifier.scopus2-s2.0-85105633699
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1111/ijcp.14308
dc.identifier.urihttps://hdl.handle.net/11491/7306
dc.identifier.volume75en_US
dc.identifier.wosWOS:000649827600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAydın, Cemil
dc.institutionauthorAydın, Zeynep Banu
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Journal Of Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.titleHow safe and effective is stentless laparoscopic ureterolithotomy in elderly patients?
dc.typeArticle

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