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Related Experiment Video

Updated: Feb 4, 2026

Transcutaneous Assessment of Renal Function in Conscious Rodents
07:18

Transcutaneous Assessment of Renal Function in Conscious Rodents

Published on: March 26, 2016

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[DRAINLESS TRANSCUTANEOUS NEPHROLITHOTRIPSY. OUR FIRST EXPERIENCE].

A I Sagalevich, S A Vozianov, B V Juran

    Klinichna Khirurhiia
    |September 29, 2018
    PubMed
    Summary
    This summary is machine-generated.

    A drainless transcutaneous nephrolithotripsy (DTN) procedure for kidney stones is safe and effective. Patients without a nephrostomic drain experienced less pain and required less anesthesia post-operation.

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    Area of Science:

    • Urology
    • Minimally Invasive Surgery

    Background:

    • Transcutaneous nephrolithotripsy (DTN) is a common procedure for renal calculi.
    • The use of nephrostomic drains post-DTN can lead to increased patient discomfort and prolonged recovery.
    • Exploring drainless techniques aims to improve patient outcomes and reduce morbidity.

    Purpose of the Study:

    • To summarize the experience and outcomes of performing drainless transcutaneous nephrolithotripsy (DTN).
    • To evaluate the safety and efficacy of DTN without a nephrostomic drain compared to traditional methods.
    • To identify patient selection criteria and procedural nuances for successful drainless DTN.

    Main Methods:

    • A retrospective summary of 245 patients undergoing mini-DTN for renal concrements.
    • Comparison between patients with (n=224) and without (n=21) a nephrostomic drain.
    • In drainless cases, antegrade ureteric JJ-stent placement was utilized.
    • Indications, patient selection, and procedural details of DTN were analyzed.

    Main Results:

    • Out of 245 patients, 21 (8.6%) were treated with drainless DTN, while 224 (91.4%) had a nephrostomic drain.
    • JJ-stents were removed between postoperative days 2-7, with some removals in an ambulatory setting.
    • Patients without a nephrostomic drain required anesthesia significantly less often post-operatively.
    • Drainless DTN demonstrated reduced pain syndrome severity in the early postoperative period.

    Conclusions:

    • Drainless transcutaneous nephrolithotripsy (DTN) is a secure and effective procedure for managing renal stones.
    • The technique, when performed by experienced surgeons adhering to strict criteria, can significantly reduce postoperative pain and discomfort.
    • This approach offers a promising alternative for select patients, potentially improving early recovery and patient satisfaction.