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Tubeless percutaneous nephrolithotomy. A comparative study with standard percutaneous nephrolithotomy
Narmada P Gupta1, Pawan Kesarwani, Rajiv Goel
1Department of Urology, All India Institute of Medical Sciences, New Delhi, India. narmadagupta@hotmail.com
Urologia Internationalis
|February 16, 2005
Summary
Tubeless percutaneous nephrolithotomy significantly reduces pain, urinary leakage, and hospital stay. This study confirms tubeless percutaneous nephrolithotomy is safe and effective for kidney stones.
Area of Science:
- Urology
- Nephrology
- Surgical Innovation
Background:
- Percutaneous nephrolithotomy (PCNL) is a standard procedure for kidney stones.
- The use of nephrostomy tubes post-PCNL can lead to complications and discomfort.
Purpose of the Study:
- To evaluate the efficacy, safety, and morbidity of tubeless percutaneous nephrolithotomy.
- To compare outcomes between tubeless PCNL and conventional PCNL with nephrostomy tubes.
Main Methods:
- A comparative study of 152 patients with renal and upper ureteric calculi.
- Group 1 (69 patients) underwent tubeless PCNL; Group 2 (83 patients) had conventional PCNL with a nephrostomy tube.
- Key outcomes measured included operating time, blood loss, analgesia requirement, urinary leakage, hospital stay, and convalescence period.
Main Results:
- No significant differences in age, sex, or stone size between groups.
- Tubeless PCNL (Group 1) showed significantly lower analgesic requirements, puncture site urinary leakage, and hospital stay.
- Operating time and blood loss were also reduced in the tubeless group, though not statistically significant.
Conclusions:
- Tubeless percutaneous nephrolithotomy is a safe and effective alternative for selected patients.
- The tubeless approach offers improved patient comfort and potentially faster recovery.
- This technique may reduce healthcare resource utilization by shortening hospital stays.