Tubeless nefrolitotomia percutanatÇŽ este o tehnicÇŽ sigurÇŽ sau nu?

Ambert, V.; Braticevici, B.; Salaheddin, Y.; Diaconescu, D.; Popescu, M.; Petca, R.; Călin, C.; Voinescu, V.
September 2010
Romanian Journal of Urology;Sep2010, Vol. 9 Issue 3, p33
Academic Journal
Objectives: Tubeless percutaneous nephrolithotomy (PCNL) represents an alternative technique to the standard PCNL that replaces the nephrostomy tube with the internal ureteral drainage. Hereby we evaluate and compare the results of standard PCNL versus standard PCNL. Materials and method: This is a retrospective study that took place in the 2007- 2010 period at the Urology Departament of "Prof Th. Burghele" Hospital on 300 patients selected from a total of 1132 patients with pyelocalyceal lithiasis upon which was performed percutaneous nephrolithotomy. Patients were divided in two groups of 150 patients each and than were compared the results. We parameters such as calculi area, overall procedure duration, intra and postoperative bleeding, postoperative analgesia, 'stone free' status and postoperative hospital stay. Results: The average dimension of the calculus for the tubeless procedure was 3.3 cm2. The average duration of the surgical intervention was 11 minutes for the tubeless PCNL and 19 minutes for standard PCNL. Postoperative hemoglobine values drop after tubeless PCNL was a average of 1.9 g/dl. The average postoperative hospital stay after tubeless PCNL was 3.3 days and 5.1 days after standard PCNL. Conclusions: Tubeless PCNL is an alternative technique to uncomplicated standard PCNL. It also is safe and efficient (reduces the number of the hospitalization days, decreases the postoperative discomfort and the necessary of analgesic), that as is to be used in careful selected cases, with intraoperative indication of the appropriate technique.


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