Tubeless percutaneous neprolithotomy: the new gold standard

Abstract

Tubeless PCNL is a good option in non-complicated PCNL with the advantages of reduced hospital stay, low postoperative pain, and little need for postoperative analgesia.

Effectiveness of totally tubeless percutaneous nephrolithotomy in selected patients: a prospective randomized study

“…Hospitalization time can be decreased by avoiding nephrostomy tube insertion. In a wide spectrum of studies, this was achieved with J-stent or ureteral catheter insertion in order to maintain the drainage [1,2,[13][14][15][16][17][18]. In this kind of procedure patient selection is vital.…”

“…In this kind of procedure patient selection is vital. But according to some authors, tubeless PCNL with stent will be the standard procedure in the future [14,15]. Rana et al performed tubeless PCNL on 110 patients and the ureter catheter, which was inserted preoperatively, was removed 16-20 h after the operation [14].…”

“…In another study, Al-Ba'adani et al reported that tubeless PCNL was effective in 121 patients and insertion of a ureter catheter was sufficient for drainage; the complication rate was 9.9% [15]. They pointed out that tubeless PCNL is a new gold standard technique.…”

‘Nephrostomy-Free’ Percutaneous Nephrolithotomy: Experience in a UK District General Hospital

“…This idea was first reported by Goh et al, 5 in 1999, but more recently several authors have also supported this idea. Al-Ba'adani et al 20 presented their experience of 121 patients who underwent 'tubeless' PCNL leaving a 6-Fr ureteric catheter. Blood transfusion rate was 4.13% and mean reduction in Hb was 1.57 g/dl.…”

“…The ureteric catheter was left for a mean duration of 45.67 h. Mean hospital stay was 50.69 h and postoperative analgesia was required in only 18.2% (mean, 22.9 mg diclofenac sodium per patient). 20 Mouracade et al 21 reported on 33 patients who had a 'tubeless' PCNL for a 'moderate stone burden', with insertion of a 7-Fr ureteric catheter. They also electrocauterised the working tract using a 26-Fr resectoscope with a rollerball electrode.…”