{"id":69,"date":"2025-12-21T21:45:09","date_gmt":"2025-12-21T21:45:09","guid":{"rendered":"https:\/\/mehmetsalihboga.com\/?page_id=69"},"modified":"2025-12-28T21:34:01","modified_gmt":"2025-12-28T21:34:01","slug":"perkutan-nefrolitotomi-pnl","status":"publish","type":"page","link":"https:\/\/mehmetsalihboga.com\/index.php\/perkutan-nefrolitotomi-pnl\/","title":{"rendered":"Perk\u00fctan Nefrolitotomi (PNL)"},"content":{"rendered":"\n
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Perk\u00fctan Nefrolitotomi (PNL)<\/strong><\/strong><\/p>\n\n\n\n

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Perk\u00fctan Nefrolitotomi (PNL) s\u0131rttan ufak bir delik a\u00e7\u0131larak ger\u00e7ekle\u015ftirilen endoskopik( kapal\u0131) bir ameliyat tekni\u011fidir. PNL b\u00f6rek ta\u015flar\u0131n\u0131n tedavisinde kullan\u0131r. Bu kullan\u0131lan y\u00f6ntem daha fazla olarak 2 cm\u2019den daha b\u00fcy\u00fck ta\u015flarda ya da ba\u015fka tedavi se\u00e7eneklerinin (ESWL ve R\u0130RC) ba\u015far\u0131ya ula\u015famad\u0131\u011f\u0131 i\u00e7in daha k\u00fc\u00e7\u00fck b\u00f6brek ta\u015flar\u0131nda uygulan\u0131r.<\/p>\n\n\n\n

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Ne Yap\u0131l\u0131r?<\/strong><\/strong><\/strong><\/strong><\/h2>\n\n\n\n

T\u00fcnel, hastan\u0131n s\u0131rt k\u0131sm\u0131na do\u011fru b\u00f6bre\u011fin i\u00e7ine 1 cm kal\u0131nl\u0131\u011f\u0131nda bir t\u00fcp yerle\u015ftirerek yap\u0131l\u0131r. Bu t\u00fcnelden ge\u00e7en endoskopla b\u00f6bre\u011fin i\u00e7indeki ta\u015flara ula\u015f\u0131l\u0131r. Ta\u015flar bir b\u00fct\u00fcn olarak d\u0131\u015far\u0131ya \u00e7\u0131kar\u0131labilir veya lazer, ultrasonik veya pn\u00f6motik k\u0131r\u0131c\u0131larla par\u00e7alar halinde al\u0131nabilir. Gerekirse, ameliyat\u0131n yap\u0131ld\u0131\u011f\u0131 delikten b\u00f6bre\u011fe ince bir plastik t\u00fcp (nefrostomi t\u00fcp\u00fc) yerle\u015ftirilir. Ameliyat sonras\u0131 h\u0131zl\u0131 iyile\u015fme elde etmek i\u00e7in birka\u00e7 g\u00fcnden fazla beklemek gerekir. Bu t\u00fcp \u00e7o\u011funlukla k\u00fc\u00e7\u00fck ta\u015flara ve sorunsuz ameliyatlara uygulan\u0131r.<\/p>\n<\/div>\n\n\n\n

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Ka\u00e7 \u00e7e\u015fit operasyon mevcuttur?<\/strong><\/strong><\/h2>\n\n\n\n

Son y\u0131llarda ince endoskop ve enstr\u00fcmanlar kullan\u0131larak daha k\u00fc\u00e7\u00fck kesilerden mini-PNL ad\u0131 verilen ameliyat ger\u00e7ekle\u015ftirilebilir. Mini-PNL y\u00f6nteminde 15-18 Fr (5-6 mm) ve ultramini-PNL y\u00f6nteminde 12-14 Fr (3-4 mm) \u00e7apl\u0131 t\u00fcpler kullan\u0131l\u0131rken, standart y\u00f6ntemde 30 Fr (1 cm) boyutunda bir t\u00fcp koyulur. Kullan\u0131lan t\u00fcp\u00fcn boyutu k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fcnde, ameliyattan kaynaklanan kanama gibi istenmeyen olaylar\u0131n meydana gelme olas\u0131l\u0131\u011f\u0131 azal\u0131r. Daha k\u00fc\u00e7\u00fck \u00e7apl\u0131 ayg\u0131tlarla yap\u0131lan ameliyatlar sonras\u0131 iyile\u015fme daha h\u0131zl\u0131 ve hasta daha az a\u011fr\u0131 \u00e7eker. Bu, iyile\u015fmeyi kolayla\u015ft\u0131r\u0131r.<\/p>\n<\/div>\n\n\n\n

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Avantajlar\u0131 nelerdir? <\/strong><\/strong><\/strong><\/h2>\n\n\n\n


Bu y\u00f6ntemin \u00e7e\u015fitli y\u00f6ntemlere g\u00f6re en \u00f6nemli \u00f6zelli\u011fi, 2 cm’den b\u00fcy\u00fck ta\u015flar i\u00e7in “ba\u015far\u0131 (ta\u015fs\u0131zl\u0131k) \u015fans\u0131 en y\u00fcksek” metod olarak ge\u00e7mesidir. Eskiden b\u00fcy\u00fck kesiden yap\u0131lan a\u00e7\u0131k ta\u015f ameliyatlar\u0131na g\u00f6re, bu y\u00f6ntem b\u00fcy\u00fck b\u00f6brek ta\u015flar\u0131n\u0131n tedavisinde kozmetik a\u00e7\u0131dan \u00e7ok daha iyi sonu\u00e7lar sa\u011flar ve hastalar\u0131n daha uzun ve daha rahat bir iyile\u015fme d\u00f6nemi ya\u015famas\u0131na yard\u0131mc\u0131 olur.<\/p>\n\n\n\n

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Riskler nelerdir?
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Bu ameliyat, kapal\u0131 endoskopik bir metod olmas\u0131na ra\u011fmen, enfeksiyon, kanama ve yak\u0131n \u00e7evredeki organlara zarar verme gibi riskler i\u00e7ermektedir. Ameliyattan \u00f6nce iyi haz\u0131rlanmak ve tam donan\u0131ml\u0131 ekipmanlar ile ameliyata girmek bu riskleri en aza indirir. En \u00f6nemlisi, cerrah\u0131n bu operasyonla ilgili yeterli deneyime sahip olmas\u0131d\u0131r<\/p>\n\n\n\n

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Perk\u00fctan Nefrolitotomi (PNL) Perk\u00fctan Nefrolitotomi (PNL) s\u0131rttan ufak bir delik a\u00e7\u0131larak ger\u00e7ekle\u015ftirilen endoskopik( kapal\u0131) bir ameliyat tekni\u011fidir. PNL b\u00f6rek ta\u015flar\u0131n\u0131n tedavisinde kullan\u0131r. Bu kullan\u0131lan y\u00f6ntem daha fazla olarak 2 cm\u2019den daha b\u00fcy\u00fck ta\u015flarda ya da ba\u015fka tedavi se\u00e7eneklerinin (ESWL ve R\u0130RC) ba\u015far\u0131ya ula\u015famad\u0131\u011f\u0131 i\u00e7in daha k\u00fc\u00e7\u00fck b\u00f6brek ta\u015flar\u0131nda uygulan\u0131r. Ne Yap\u0131l\u0131r? T\u00fcnel, hastan\u0131n s\u0131rt k\u0131sm\u0131na […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-69","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages\/69","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/comments?post=69"}],"version-history":[{"count":5,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages\/69\/revisions"}],"predecessor-version":[{"id":298,"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/pages\/69\/revisions\/298"}],"wp:attachment":[{"href":"https:\/\/mehmetsalihboga.com\/index.php\/wp-json\/wp\/v2\/media?parent=69"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}