SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY
Percutaneous nephrolithotomy (PNL) is commonly used to treat patients with complex renal calculi. Placing a nephrostomy tube is the last step after completing PNL. Significant early postoperative discomfort after percutaneous procedure is usually secondary to nephrostomy tubes. The goal of this stud...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2008-10-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/3503 |
| _version_ | 1811267869701308416 |
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| author | S Falahatkar I Khosropanah A Roshani H Niroumand S Nikpour |
| author_facet | S Falahatkar I Khosropanah A Roshani H Niroumand S Nikpour |
| author_sort | S Falahatkar |
| collection | DOAJ |
| description | Percutaneous nephrolithotomy (PNL) is commonly used to treat patients with complex renal calculi. Placing a nephrostomy tube is the last step after completing PNL. Significant early postoperative discomfort after percutaneous procedure is usually secondary to nephrostomy tubes. The goal of this study is to evaluate the safety of tubeless PNL. A total of 45 patients with mean age of 46.6 years entered the study. Tubeless PNL was performed in 28 patients and 17 patients were treated with standard PNL. The results of 2 groups were compared with t test. In both groups, PNL was performed successfully without any significant complication. Postoperative hospitalization in standard group was 3.71 day and in tubeless group was 1.65 day that significant statistical difference was observed (P < 0.05). Analgesic dose using in standard group was 101.56 mg (pethidine) vs 99.07 mg (pethidine) in tubeless group, with no significant statistical difference. There wasn't any organ trauma. Rate of complications, including hematuria, extravasation, fever, UTI and urosepsis, didn't have any significant statistical difference in two groups. It seems that tubeless PNL may be an effective and safe method in renal stone treatment in selected patients. In comparison with standard PNL, tubeless PNL has some benefits including reduction the length of hospitalization. Further studies on more patients are needed to determine the advantages of this technique. |
| first_indexed | 2024-04-12T21:10:21Z |
| format | Article |
| id | doaj.art-45dc1f99e871450a862898675fac32b6 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-12T21:10:21Z |
| publishDate | 2008-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-45dc1f99e871450a862898675fac32b62022-12-22T03:16:36ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942008-10-01465SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMYS Falahatkar0I Khosropanah1A Roshani2H Niroumand3S Nikpour4Urology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, IranUrology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, IranUrology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, IranUrology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, IranUrology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, IranPercutaneous nephrolithotomy (PNL) is commonly used to treat patients with complex renal calculi. Placing a nephrostomy tube is the last step after completing PNL. Significant early postoperative discomfort after percutaneous procedure is usually secondary to nephrostomy tubes. The goal of this study is to evaluate the safety of tubeless PNL. A total of 45 patients with mean age of 46.6 years entered the study. Tubeless PNL was performed in 28 patients and 17 patients were treated with standard PNL. The results of 2 groups were compared with t test. In both groups, PNL was performed successfully without any significant complication. Postoperative hospitalization in standard group was 3.71 day and in tubeless group was 1.65 day that significant statistical difference was observed (P < 0.05). Analgesic dose using in standard group was 101.56 mg (pethidine) vs 99.07 mg (pethidine) in tubeless group, with no significant statistical difference. There wasn't any organ trauma. Rate of complications, including hematuria, extravasation, fever, UTI and urosepsis, didn't have any significant statistical difference in two groups. It seems that tubeless PNL may be an effective and safe method in renal stone treatment in selected patients. In comparison with standard PNL, tubeless PNL has some benefits including reduction the length of hospitalization. Further studies on more patients are needed to determine the advantages of this technique.https://acta.tums.ac.ir/index.php/acta/article/view/3503Percutaneous nephrolithotomyurinary lithiasisnephrostomy |
| spellingShingle | S Falahatkar I Khosropanah A Roshani H Niroumand S Nikpour SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY Acta Medica Iranica Percutaneous nephrolithotomy urinary lithiasis nephrostomy |
| title | SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY |
| title_full | SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY |
| title_fullStr | SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY |
| title_full_unstemmed | SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY |
| title_short | SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY |
| title_sort | safety and efficacy of tubeless percutaneous nephrolithotomy |
| topic | Percutaneous nephrolithotomy urinary lithiasis nephrostomy |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/3503 |
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