TITLE

Tubeless nefrolitotomia percutanatÇŽ este o tehnicÇŽ sigurÇŽ sau nu?

AUTHOR(S)
Ambert, V.; Braticevici, B.; Salaheddin, Y.; Diaconescu, D.; Popescu, M.; Petca, R.; Călin, C.; Voinescu, V.
PUB. DATE
September 2010
SOURCE
Romanian Journal of Urology;Sep2010, Vol. 9 Issue 3, p33
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
57332722

 

Related Articles

  • A Randomized Comparison of Tubeless and Standard Percutaneous Nephrolithotomy. Madhu S. Agrawal; Mayank Agrawal; Apurva Gupta; Sumit Bansal; Abhishek Yadav; Jitendra Goyal // Journal of Endourology;Mar2008, Vol. 22 Issue 3, p439 

    PurposeWe present a randomized study of tubeless or nephrostomy-free percutaneous nephrolithotomy (PCNL), a modification of the standard technique, compared with standard PCNL to evaluate the role of tubeless PCNL in minimizing postoperative discomfort and reducing duration of hospital...

  • Hemostatic Sandwich to Control Percutaneous Nephrolithotomy Tract Bleeding. William W. Millard; Forrest C. Jellison; Christopher Tenggardjaja; Kamyar Y. Ebrahimi; D. Duane Baldwin // Journal of Endourology; 

    AbstractBackground and Purpose:Significant bleeding necessitating use of a tamponade balloon, embolization, or renal exploration is a rare but catastrophic complication after percutaneous nephrolithotomy (PCNL). The purpose of this study is to review the success of a novel, minimally invasive...

  • Are Multiple Nephrostomy Tubes Necessary After Multitract Percutaneous Nephrolithotomy? A Randomized Comparison of Single Versus Multiple Nephrostomy Tubes. Madhu S. Agrawal; Mayank Agrawal // Journal of Endourology;Nov2009, Vol. 23 Issue 11, p1831 

    AbstractPurpose:Placement of multiple nephrostomy tubes is the standard practice after completion of multitract percutaneous nephrolithotomy (PCNL) for complex/staghorn calculi. We conducted a study to see whether use of a single nephrostomy tube in comparison with multiple tubes reduces...

  • Tubeless Percutaneous Nephrolithotomy Call of The Day. Shoaib Mithani // Journal of Endourology;Feb2007, Vol. 21 Issue 2, p169 

    Purpose We challenge the routine placement of nephrostomy tube after percutaneous nephrolithotomy (PCNL) without taking into consideration the size, burden, and multiplicity of the stones; the degree of obstruction of the pelvicaliceal system, or any anatomic variations of the kidney in shape or...

  • Tubeless Percutaneous Nephrolithotomy Is it Really Less Morbid. Iqbal Singh; Arvind Singh; Gyanendra Mittal // Journal of Endourology;Mar2008, Vol. 22 Issue 3, p427 

    PurposeTo prospectively evaluate and study the role, relative safety, and effectiveness of tubeless percutaneous nephrolithotomy (PCNL) and whether it is really less morbid vis--vis PCNL with a nephrostomy tube; to compare the postoperative pain, analgesia requirement, hospital stay, return to...

  • Comparison of Outcomes After Percutaneous Nephrolithotomy of Staghorn Calculi in Those with Single and Multiple Accesses. Tolga Akman; Erhan Sari; Murat Binbay; Emrah Yuruk; Abdulkadir Tepeler; Mehmet Kaba; Ahmet Yaser Muslumanoglu; Ahmet Tefekli // Journal of Endourology;Jun2010, Vol. 24 Issue 6, p955 

    AbstractPurpose:To analyze the early outcome after single tract vsmultiple tracts percutaneous nephrolithotomy (PCNL) in the management of staghorn calculi.Patients and Methods:The records of 413 patients with staghorn calculi (223 [54%] had complete and 190 [46%] had partial) who underwent PCNL...

  • Effect of Percutaneous Nephrolithotomy and Tract Dilatation Methods on Renal Function: Assessment by Quantitative Single-Photon Emission Computed Tomography of Technetium-99m—Dimercaptosuccinic Acid Uptake by the Kidneys. Ali Ünsal; Gökhan Koca; Berkan Reşorlu; Mirze Bayindir; Meliha Korkmaz // Journal of Endourology; 

    AbstractObjectives:The aim of this study was to determine the impact of percutaneous nephrolithotomy (PCNL) and tract dilatation methods on global and regional renal function using quantitative single-photon emission computed tomography (QSPECT) of technetium-99m–dimercaptosuccinic acid...

  • lithonephrotomy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1353 

    A definition of the term "lithonephrotomy" which refers to an incision of the kidney for the removal of a kidney stone is presented.

  • Totally tubeless percutaneous nephrolithotomy: Is it safe? Nirmal, T. J.; Samiran, Adhikary // Indian Journal of Urology;Jul2009, Vol. 25 Issue 3, p418 

    This was a randomized, controlled trial comparing the outcomes of percutaneous nephrolithotomy (PCNL) with and without a nephrostomy drain.[1] A sample size of 25 patients in each group was calculated based on data from a retrospective audit. The mean stone size was 21.6 vs. 17.5 mm. Patients...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics