Purpose: Several recent studies have reported the benefits of tubeless percutaneous nephrolithotomy (PNL). Postoperatively, tubeless PNL patients have an indwelling ureteral stent placed, which is often associated with stent-related morbidity. We have performed totally tubeless (tubeless and stentless) PNL in which no nephrostomy tube or ureteral stent is placed postoperatively. We evaluated the safety, effectiveness, and feasibility of totally tubeless PNL.
Materials And Methods: From March 2008 to February 2012, 57 selected patients underwent standard or totally tubeless PNL. Neither a nephrostomy tube nor a ureteral stent was placed in the totally tubeless PNL group. We compared patient and stone characteristics, operation time, length of hospitalization, analgesia requirements, stone-free rate, blood loss, change in creatinine, and perioperative complications between the standard and totally tubeless PNL groups.
Results: There were no significant differences in preoperative patient characteristics, postoperative complications, or the stone-free rate between the two groups, but the totally tubeless PNL group showed a shorter hospitalization and a lesser analgesic requirement compared with the standard PNL group. Blood loss and change in creatinine were not significantly different between the two groups.
Conclusions: Totally tubeless PNL appears to be a safe and effective alternative for the management of renal stone patients and is associated with a decrease in length of hospital stay.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502738 | PMC |
| http://dx.doi.org/10.4111/kju.2012.53.11.785 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Is double-J stent mandatory in complete supine percutaneous nephrolithotomy for adult patients with staghorn renal stones?
BMC Urol
October 2024
Urology Research Center, School of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Article Synopsis
- The study investigates the necessity of double-J (DJ) stent insertion after tubeless percutaneous nephrolithotomy (PCNL) for staghorn stones, comparing outcomes between two patient groups: one with DJ stents and the other with ureteral catheters.
- Results showed that while the operative time was longer for patients with DJ stents, they had shorter hospital stays and a higher stone-free rate; however, those without stents returned to normal life faster.
- The authors recommend using DJ stents due to the higher residual stone rate in those without stents, which can lead to more complications and longer recovery times.
Comparing Totally Tubeless and Tubeless Percutaneous Nephrolithotomy with Standard Techniques.
Mymensingh Med J
October 2024
Dr Md Fazlul Haq Siddique, Associate Professor, Department of Urology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Traditionally, percutaneous nephrolithotomy (PCNL) includes placing a nephrostomy tube and a Double J (DJ) stent to drain the kidney and operative tract following the procedure. However, more recent techniques, such as tubeless or totally tubeless PCNL, eliminate these drainage methods. The objective was to assess the feasibility, safety and effectiveness of performing tubeless or totally tubeless PCNL in comparison to standard PCNL a retrospective analysis was performed on 156 patients who underwent PCNL treatment From September 2022 to September 2023.
View Article and Find Full Text PDFSafety and efficacy of ambulatory tubeless mini-percutaneous nephrolithotomy in the management of 10-25 mm renal calculi A retrospective study.
Can Urol Assoc J
October 2024
Department of Urology, Thunder Bay Regional Health Sciences Centre, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
Article Synopsis
- * A total of 95 patients were analyzed, with most (90.5%) undergoing the totally tubeless approach; the median operative time was 64 minutes, and patients were discharged within six hours post-surgery.
- * The stone-free rates were 73.7% on the first day post-op and increased to 92.6% after three months, making mini-PCNL a promising option with minimal complications and low rates of emergency visits or readmissions.*
Is Totally Tubeless Percutaneous Nephrolithotomy a Safe and Efficacious Option for Complex Stone Disease?
J Clin Med
May 2024
Department of Urology, Icahn School of Medicine at Mount Sinai, 425 W. 59th Street, Suite 4F, New York, NY 10019, USA.
: Percutaneous nephrolithotomy is the gold standard treatment for large, complex intrarenal stones. Historically, this was performed using a nephrostomy tube (PCN) and/or internalized ureteral stent at the end of the procedure. However, totally tubeless nephrolithotomy (tt-PCNL) is a novel technique where no tubes (no stent nor nephrostomy tube) are left post-operatively.
View Article and Find Full Text PDFIntroduction: Previously, the placement of a nephrostomy tube was considered standard practice during percutaneous nephrolithotomy (PCNL) to ensure repeat access and kidney assessment. However, some publications have shown that in certain cases, a totally tubeless approach may be a viable alternative, provided that PCNL is performed properly and safely.
Aim: To analyze the results and complications of totally tubeless PCNL.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!