Comparative Study between Standard and Totally Tubeless Percutaneous Nephrolithotomy.
10.4111/kju.2012.53.11.785
- Author:
Sung Il YUN
1
;
Yoon Hyung LEE
;
Jae Soo KIM
;
Sung Ryong CHO
;
Bum Soo KIM
;
Joon Beom KWON
Author Information
1. Department of Urology, Daegu Fatima Hospital, Daegu, Korea. Aziru@lycos.co.kr
- Publication Type:Comparative Study ; Original Article
- Keywords:
Kidney calculi;
Percutaneous nephrostomy;
Stents
- MeSH:
Analgesia;
Creatinine;
Hospitalization;
Humans;
Kidney Calculi;
Length of Stay;
Nephrostomy, Percutaneous;
Postoperative Complications;
Stents;
Ureter
- From:Korean Journal of Urology
2012;53(11):785-789
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Several recent studies have reported the benefits of tubeless percutaneous nephrolithotomy (PNL). Postoperatively, tubeless PNL patients have an indwelling ureteral stent placed, which is often associated with stent-related morbidity. We have performed totally tubeless (tubeless and stentless) PNL in which no nephrostomy tube or ureteral stent is placed postoperatively. We evaluated the safety, effectiveness, and feasibility of totally tubeless PNL. MATERIALS AND METHODS: From March 2008 to February 2012, 57 selected patients underwent standard or totally tubeless PNL. Neither a nephrostomy tube nor a ureteral stent was placed in the totally tubeless PNL group. We compared patient and stone characteristics, operation time, length of hospitalization, analgesia requirements, stone-free rate, blood loss, change in creatinine, and perioperative complications between the standard and totally tubeless PNL groups. RESULTS: There were no significant differences in preoperative patient characteristics, postoperative complications, or the stone-free rate between the two groups, but the totally tubeless PNL group showed a shorter hospitalization and a lesser analgesic requirement compared with the standard PNL group. Blood loss and change in creatinine were not significantly different between the two groups. CONCLUSIONS: Totally tubeless PNL appears to be a safe and effective alternative for the management of renal stone patients and is associated with a decrease in length of hospital stay.
