Tubeless Percutaneous Renal Surgery
| Autor: | Lisa Stout, Joseph V. Candela, Jill M. Gerspach, Ramin Davidoff, Steven B. Kurtz, Gary C. Bellman |
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| Rok vydání: | 1997 |
| Předmět: | |
| Zdroj: | Journal of Urology. 157:1578-1582 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | Purpose: We challenge the requirement for routine placement of a nephrostomy tube following percutaneous renal surgery.Materials and Methods: A total of 50 patients underwent tubeless percutaneous renal procedures consisting of nephrolithotripsy, endopyelotomy, and stone extraction plus endopyelotomy performed during the same setting. In the initial 30 patients a Double-J* *Medical Engineering Corp., New York, New York.stent and a Councill nephrostomy tube were placed at the end of the procedure. The Councill catheter was removed 2 to 3 hours postoperatively. The subsequent 20 patients received only a Double-J stent with no Councill catheter. This study group was compared to a control group of 50 age, sex and procedure matched patients who had previously undergone standard percutaneous renal procedures with routine placement of postoperative nephrostomy tubes. The incidence of complications, analgesia requirements, length of hospitalization, interval to return to normal activities and cost of trea... |
| Databáze: | OpenAIRE |
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