Need for Ancillary Procedures among Patients Undergoing Tubeless Percutaneous Renal Surgery for Nephrolithiasis

Abstract

Patients who are eligible for tubeless PCNL are unlikely to need a secondary procedure, and residual stones can most often be treated with SWL. Patients who required nephrostomy tubes had more complicated disease and a greater need for subsequent surgery.

Safety and Efficacy of Supracostal Access in Tubeless Percutaneous Nephrolithotomy

“…However, these findings were contradictory to those of the Bellman group, who found that 78% of their patients undergoing tubeless PCNL were stone free and only 17% required ancillary procedures, mostly SWL for residual fragments. 27 In our series, 90.27% of the patients in the study group and 86.11% of the patients in the control group were stone free after PCNL. Only five patients were subjected to postoperative SWL.…”

Initial Experience with Hemostatic Fibrin Glue as Adjuvant during Tubeless Percutaneous Nephrolithotomy

“…16 Kim and coworkers 16 found that only 31% of their patients were stone free, as determined by postoperative CT scan after the first procedure, but the success rate increased to 95.2% after secondary PCNL. However, these findings were contradicted by those of the Bellman group, 17 who found that 78% of their patients undergoing tubeless PCNL were stone free and only 17% required ancillary procedures, mostly SWL, for the residual fragments. In present series, we found that 93.1% of the patients in the control group and 91.3% of the patients in the experimental group were stone free after PCNL.…”

Questioning the wisdom of tubeless percutaneous nephrolithotomy (PCNL): a prospective randomized controlled study of early tube removal vs tubeless PCNL

“…Brusky et al. [15] reported a 13% incidence of re‐treatment in the tubeless group, for non‐staghorn calculi; 15% of the patients needed an auxiliary procedure. Most of the stones remaining are CIRF; it was confirmed that CIRF can lead to symptomatic episodes in the future and hasten stone recurrence.…”