Tubeless percutaneous neprolithotomy: the new gold standard

摘要: We present our experience with tubeless percutaneous nephrolithotomy (PCNL). Between July 2004 and December 2006, 121 patients (82 males 39 females) 18–70 mm (mean 31.19 mm) renal stones underwent PCNL leaving only a 6 Fr externalized ureteric catheter. Their ages ranged between 4 80 years 37.27). Two had bilateral disease, so total of 123 units are included. The procedure was performed under general anesthesia in the prone (110 units) or supine position (13 units). A 133 punctures were performed. single (114 units), double (8 units), triple (1 unit). approach subcostal through lower calyx (n = 110) middle (n = 10), supracostal (n = 8) upper (n = 5). Mean operative time 46.30 min (range 15–100). reduction hemoglobin level 1.57 g 0.3–4) blood transfusion rate 4.13%. Complication 9.9% form perirenal collection (five patients), urinary leakage (two fever (four hydrothorax (one patient). catheter left for 7–72 h 45.67). Postoperative analgesia required 22 (18.2%) mean 22.9 mg diclofenac sodium per patient. hospital stay 50.69 h 12–96) 106 units (86.18%) rendered stone free, 13 (10.57%) insignificant residuals, four units (3.25%) significant residual stones. Tubeless is good option non-complicated advantages reduced stay, low postoperative pain, little need analgesia.