Geriatrik Hastalarda Perkütan Nefrolitotominin Güvenilirliğinin ve Komplikasyonları Etkileyen Faktörlerin Değerlendirilmesi

Abstract

This study aims to investigate the safety and efficacy of percutaneous nephrolithotomy (PNL) in the elderly. Material and Method: The data of 238 patients who underwent PNL between January 2015 and January 2020 were retrospectively analyzed. A total 238 patients were divided into two groups made up of 86 elderly (above 65 years old) and 152 non-elderly persons (under 65 years old). Demographic data, stone characteristics, operation data, and complications were compared between the elderly and non-elderly patients.RESULTS: Eighty-six (36.1%) elderly patients were included in the study. There was no significant difference between the groups in terms of demographic characteristics, success, and complication rates (p>0.05). The overall stone-free rate was 86.0% in the elderly and 86.8% in non-elderly (p>0.05). In multivariable analysis; stone size (p=0.032, OR=0.202 and 95% CI=0.047-0.873) and number of stones (p=0.002, OR=0.067 and 95% CI=0.012-0.377) were found to be associated with complications in elderly.CONCLUSION: Percutaneous Nephrolithotomy can be performed safely with high success in elderly patients. It should be kept in mind that the risk of complications for PNL is increased in geriatric patients with a high number of stones and burden.