Clinical Analysis of Tubeless Percutaneous Nephrolithotomy (48 cases)

Abstract

Abstract: Objectives To assess our initial experience in extending the implementation of tubeless PCNL without preoperative patient selection and evaluate the safety and feasibility of tubeless percutaneous nephrolithotomy. Methods All consecutive PCNL performed during 2009-2012 were evaluated. Tubeless PCNL was performed when residual stones, bleeding and extravasation were excluded intraoperatively. Staghorn stones, stone burden, supracostal and multiple accesses, anatomic anomalies, solitary kidneys and operative time were not considered contraindications. We analyzed the clinical data and the choice of tubeless. PCNL over time. Results Of 600 PCNL performed during the study period 48 (71%) were tubeless. Including 5 cases of the procedure was totally tubeless percutaneous nephrolithotomy. The postoperative recovery time and relatively cost was low, 48 patients were discharged in the short term. 1 case of bilateral and tubeless percutaneous nephrolithotomy appears postoperative high fever. The temperature returned to normal after replace cephalosporins antibiotics of three generations. One patient with totally tubeless percutaneous nephrolithotomy had severe postoperative pain and discharge after give received alimta. conclusion Tubeless PCNL can be safely and effectively performed based on intraoperative decisions, without preoperative contraindications. They are easily accommodated by experienced endourologists and provide real advantages.

Key words: tubeless, percutaneous nephrolithotomy, kidney calculi

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References

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