Tubeless Percutaneous Nephrolithotomy: 5 Years of Experience in 201 Patients

Karami, Hossein; Jabbari, Mousa; Arbab, Amir

doi:10.1089/end.2007.0406

Cited by 22 publications

(15 citation statements)

References 5 publications

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“…They compared small (9F) vs. conventional (20F) tube after PCNL and showed that patients with 9F nephrostomy tube had less pain and hospital stay in comparison with 20F tube patients (13). Karami et al reported their 5-year experience with tubeless PCNL in 201 patients and indicated that it can be done safely in kidney stones larger than 2 cm as well as in staghorn stones (15). In a review article that was done by Zilberman et al it was shown that tubeless PCNL has some advantages such as less pain, less debilitation, less costs, and a quicker recovery in all patient groups including children and obese patients (16).…”

Section: Discussionmentioning

confidence: 99%

Totally Tubeless Percutaneous Nephrolithotomy: A Comparison with Tubeless and Standard Methods

et al. 2017

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Objectives: The study aimed to compare tubeless, totally tubeless, and standard percutaneous nephrolithotomy (PNL) in a tertiary center with selected patient population. Methods: Between September 2013 and March 2015, percutaneous nephrolithotomy was performed on 216 patients in our center. Patients without massive bleeding, calyceal perforation, and residual fragments smaller than 4 mm were enrolled in this study. The patients were divided into 3 groups. In the first group (n = 68), we placed nephrostomy and kept ureteral catheter for 24 hours (the standard group). In second the group (n = 69), no nephrostomy was inserted and ureteral catheter was removed in the operation room (the totally tubeless group) and in the third group (n = 79), no nephrostomy catheter was placed but antegrade DJ stent was inserted intraoperatively (the tubeless group). Three groups were compared with respect to age, analgesic requirement, BMI, length of stay, pain, and stone size. Results: No significant differences were found in the mean stone size, operation time, transfusion rates, and hemoglobin level change between the groups. However, hospitalization time, the amount of narcotic usage, and pain were significantly lower in the second group compared to the other groups (P < 0.05). Conclusions: In patients with no major intraoperative bleeding and calyceal perforation, the totally tubeless approach is safe with decreased pain, analgesia requirement, and hospital stay.

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Section: Discussionmentioning

confidence: 99%

Totally Tubeless Percutaneous Nephrolithotomy: A Comparison with Tubeless and Standard Methods

et al. 2017

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“…Mean hospitalization time was 3.5 days. The researchers underlined that tubeless PCNL is a safe and economic approach with high patient comfort (9).…”

Section: Commentsmentioning

confidence: 99%

The comparison of standard and tubeless percutaneous nephrolithotomy procedures

Nalbant¹,

Öztürk²,

Şener³

et al. 2012

Int. braz j urol.

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“…They found signifi cant reduction in hospital stay reduction and need of analgesia. Karamiet al 17 found tubeless PCNL with only external catheter to be economically less costly, safe, and effective. In our study we have compared using internal and external catheter for the standard PCNL.…”

Section: Resultsmentioning

confidence: 99%

Double J stenting compared with ureteral catheterization in percutaneous Nephrolithotomy

Joshi

Dongol

Singh

2014

J. Kathmandu Med. Coll.

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Background: Nephrolithiasis represents a large portion in the fi eld of Urological pathology. Minimal invasive and non-invasive therapies have become more accessible and effi cient in the treatment of nephrolithiasis. Percutaneous nephrolithotomy (PCNL) is an effective minimal invasive modality of treating kidney stones. Objectives: To evaluate the outcome of standard percutaneous nephrolithotomy (PCNL) using two different stenting techniques i.e. externalized ureteral catheter placement compared with Double-J stent placement. Methods: This is a prospective study conducted from January 2012 to June 2013 at Kathmandu Medical College Teaching Hospital among patients undergoing percutaneous nephrolithotomy (PCNL). Fifty patients who underwent PCNL were divided into two equal groups: Group 1 (PCNL with Double-J stent placement) and Group 2 (PCNL with externalized ureteral catheter placement). Factors evaluated included stent-related symptoms, postoperative morbidity, and the cost. Morbidity was classifi ed according to the Modifi ed Clavien classifi cation. SPSS 20 was used for statistical evaluation. P value less than 0.05 was considered signifi cant. Results: Stent related morbidity were fever, dysuria, hematuria, burning micturition. Total of 16 stent related complications were seen in group 1 with four of the patients needing early surgical intervention to remove the Double J stent and injectable antibiotics for urinary tract complication due to indwelling stent. In Group 2, seven patients experienced postoperative complications, out of which six were managed conservatively and one patient had grade III A dysuria and hematuria, who underwent immediate stent removal and received injectable antibiotics. There was no reported sepsis and mortality in both groups. Stent was removed in 3-4 weeks' time in group 1 and 3-4 days in group 2. In Group 1, patients had to come one day prior for stent removal. Cost for DJ stent was signifi cantly higher in group I than group II. Conclusion: Standard PCNL with externalized ureteral catheter is as feasible as Double-J stenting. Less cost can be a huge relief to the patients in the third world developing country.

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Tubeless Percutaneous Nephrolithotomy: 5 Years of Experience in 201 Patients

Abstract: In our experience, tubeless PCNL is safe, effective, and feasible without any discomfort for patients.

Cited by 22 publications

References 5 publications

Totally Tubeless Percutaneous Nephrolithotomy: A Comparison with Tubeless and Standard Methods

Totally Tubeless Percutaneous Nephrolithotomy: A Comparison with Tubeless and Standard Methods

The comparison of standard and tubeless percutaneous nephrolithotomy procedures

Double J stenting compared with ureteral catheterization in percutaneous Nephrolithotomy

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