Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones?
Introduction: We hypothesized that modified totally tubeless percutaneous nephrolithotomy (PNL) without indwelling ureteral stent would minimize postoperative discomfort without complications. Aim : To evaluate the safety, efficacy, and morbidity of standard, tubeless, and modified totally tube...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medycyna Praktyczna
2016-12-01
|
| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | https://www.termedia.pl/Modified-totally-tubeless-percutaneous-nephrolithotomy-Is-it-an-effective-and-safe-treatment-option-for-renal-and-upper-ureteral-stones-,42,28867,1,1.html |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849305522887458816 |
|---|---|
| author | Ho Seok Chung Seung Il Jung Ho Song Yu Eu Chang Hwang Kyung Jin Oh Dong Deuk Kwon Kwangsung Park |
| author_facet | Ho Seok Chung Seung Il Jung Ho Song Yu Eu Chang Hwang Kyung Jin Oh Dong Deuk Kwon Kwangsung Park |
| author_sort | Ho Seok Chung |
| collection | DOAJ |
| description | Introduction: We hypothesized that modified totally tubeless percutaneous nephrolithotomy (PNL) without indwelling ureteral stent would minimize postoperative discomfort without complications.
Aim : To evaluate the safety, efficacy, and morbidity of standard, tubeless, and modified totally tubeless PNL as well as the usefulness of modified totally tubeless PNL.
Material and methods: From November 2011 to February 2015, 211 patients who underwent PNL consecutively were enrolled in this study and divided into 3 groups (group 1: standard, group 2: tubeless, group 3: modified totally tubeless PNL). Patient and stone characteristics, operation time, hemoglobin change, length of hospitalization, stone-free rate, analgesic requirement, and perioperative complications were analyzed and compared among the 3 groups.
Results: There were no significant differences in preoperative patient characteristics among the three groups. In the postoperative analysis, the three groups had similar operation time, stone-free rate, perioperative fever and transfusion rate, but group 2 showed superior results in terms of length of hospitalization (p = 0.001). Group 2 and group 3 had a lower analgesic requirement (p = 0.010). Immediate postoperative hemoglobin change (p = 0.001) and tube site complications (p = 0.001) were more common in group 1.
Conclusions : Modified totally tubeless PNL was not inferior in terms of postoperative outcomes and safety compared with the standard and tubeless PNL, and avoided the postoperative stent-related symptoms and cystoscopy for double-J stent removal. Modified totally tubeless PNL could be an alternative treatment of choice for management of renal or upper ureteral stones in selected patients. |
| format | Article |
| id | doaj-art-0174e402dfce48e6a2920c85ae4ad2fb |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-0174e402dfce48e6a2920c85ae4ad2fb2025-08-20T03:55:24ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542016-12-0111424024610.5114/wiitm.2016.6444728867Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones?Ho Seok ChungSeung Il JungHo Song YuEu Chang HwangKyung Jin OhDong Deuk KwonKwangsung ParkIntroduction: We hypothesized that modified totally tubeless percutaneous nephrolithotomy (PNL) without indwelling ureteral stent would minimize postoperative discomfort without complications. Aim : To evaluate the safety, efficacy, and morbidity of standard, tubeless, and modified totally tubeless PNL as well as the usefulness of modified totally tubeless PNL. Material and methods: From November 2011 to February 2015, 211 patients who underwent PNL consecutively were enrolled in this study and divided into 3 groups (group 1: standard, group 2: tubeless, group 3: modified totally tubeless PNL). Patient and stone characteristics, operation time, hemoglobin change, length of hospitalization, stone-free rate, analgesic requirement, and perioperative complications were analyzed and compared among the 3 groups. Results: There were no significant differences in preoperative patient characteristics among the three groups. In the postoperative analysis, the three groups had similar operation time, stone-free rate, perioperative fever and transfusion rate, but group 2 showed superior results in terms of length of hospitalization (p = 0.001). Group 2 and group 3 had a lower analgesic requirement (p = 0.010). Immediate postoperative hemoglobin change (p = 0.001) and tube site complications (p = 0.001) were more common in group 1. Conclusions : Modified totally tubeless PNL was not inferior in terms of postoperative outcomes and safety compared with the standard and tubeless PNL, and avoided the postoperative stent-related symptoms and cystoscopy for double-J stent removal. Modified totally tubeless PNL could be an alternative treatment of choice for management of renal or upper ureteral stones in selected patients.https://www.termedia.pl/Modified-totally-tubeless-percutaneous-nephrolithotomy-Is-it-an-effective-and-safe-treatment-option-for-renal-and-upper-ureteral-stones-,42,28867,1,1.html<i>percutaneous nephrolithotomy stone tubeless</i> |
| spellingShingle | Ho Seok Chung Seung Il Jung Ho Song Yu Eu Chang Hwang Kyung Jin Oh Dong Deuk Kwon Kwangsung Park Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones? Videosurgery and Other Miniinvasive Techniques <i>percutaneous nephrolithotomy stone tubeless</i> |
| title | Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones? |
| title_full | Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones? |
| title_fullStr | Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones? |
| title_full_unstemmed | Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones? |
| title_short | Modified totally tubeless percutaneous nephrolithotomy: Is it an effective and safe treatment option for renal and upper ureteral stones? |
| title_sort | modified totally tubeless percutaneous nephrolithotomy is it an effective and safe treatment option for renal and upper ureteral stones |
| topic | <i>percutaneous nephrolithotomy stone tubeless</i> |
| url | https://www.termedia.pl/Modified-totally-tubeless-percutaneous-nephrolithotomy-Is-it-an-effective-and-safe-treatment-option-for-renal-and-upper-ureteral-stones-,42,28867,1,1.html |
| work_keys_str_mv | AT hoseokchung modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones AT seungiljung modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones AT hosongyu modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones AT euchanghwang modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones AT kyungjinoh modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones AT dongdeukkwon modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones AT kwangsungpark modifiedtotallytubelesspercutaneousnephrolithotomyisitaneffectiveandsafetreatmentoptionforrenalandupperureteralstones |