Tubeless Percutaneous Nephrolithotomy.

Autor: Gupta, Narmada P., Kesarwani, Pawan, Goel, Rajiv, Aron, Monish
Předmět:
Zdroj: Urologia Internationalis; Jan2005, Vol. 74 Issue 1, p58-61, 4p, 3 Charts
Abstrakt: Introduction: To assess the efficacy, safety and morbidity of tubeless percutaneous nephrolithotomy. Materials and Methods: One hundred and fifty-two patients with renal and upper ureteric calculi were included in this study. Sixty-nine patients (71 renal units; group 1) in whom no nephrostomy tube was placed at the conclusion of the procedure was compared with a similar control group of 83 patients (group 2) in whom a nephrostomy tube was placed. Operating time, blood loss, analgesia requirement, puncture site urinary leakage, hospital stay and mean convalescence period were compared in both groups. Results: Both groups were similar with respect to age, sex distribution and stone size. Operating time and blood loss were less in group 1 although they did not reach statistical significance. The mean analgesic requirement, puncture site urinary leakage and hospital stay were significantly less in group 1. Conclusion: Tubeless percutaneous nephrolithotomy is a safe and effective procedure in this selected group of patients. Copyright © 2005 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
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