|
Tubeless Percutaneous
Nephrolithotomy in the Management of Renal Calculi
Sultan Mohamed Sultan, Ahmed Gamal-El-Din, Mohamed Omar Badreldin
Urology Department, Faculty of Medicine, Menoufiya University, Egypt
Tanta Med. Sc. J 2007; 2(3):49-53
Article type: Original article
Aim: To evaluate the status of tubeless
percutaneous nephrolithotomy (PCNL) after managing uncomplicated
renal calculi in selected patients. Patients & Methods: From August
2006 to May 2007, 28 patients with single renal stones were selected
for tubeless PCNL. At the end of the procedure, a 6 Fr ureteral
catheter was left in place and a nephrostomy tube was avoided. The
outcomes measured were the operative time, change in the haematocrit
value, urinary leak, blood transfusion requirement, hospital stay
and the success rate. Results: The mean age was 48±11 years. There
were 25 male and 3 females. The mean stone size in these patients
was 35±10 mm. The operative time was 56±20 minutes. 25 (89.3%)
patients were stone free and three patients (10.7%) had residual
fragments less than 5 mm. Two patients had prolonged urine leakage
for more than three days and managed by DJ insertion. No patient
required blood transfusion or had postoperative urinoma. The mean
hospital stay was 2.6 ± 1.1 days. Conclusion: Tubeless percutaneous
nephrolithotomy is an option in selected patients when there is no
bleeding, perforation, or repeat PCNL required.
|