Tubeless percutaneous nephrolithotomy: 3 years of experience with 454 patients
| Autor: | Shabbir Kharodawala, Sunil S. Hegde, Hemendra N. Shah, Amit A. Khandkar, Manish B. Bansal, Hiren S. Sodha |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Adolescent Urology medicine.medical_treatment Kidney Calculi Young Adult Postoperative Complications medicine Humans Percutaneous nephrolithotomy Ureteric stent Aged Nephrostomy Percutaneous Retrospective Studies business.industry Perioperative Middle Aged medicine.disease Surgery Treatment Outcome Percutaneous nephrostomy Case-Control Studies Nephrostomy Female Stents Pyonephrosis business Kidney disease |
| Zdroj: | BJU International. 104:840-846 |
| ISSN: | 1464-410X 1464-4096 |
| DOI: | 10.1111/j.1464-410x.2009.08496.x |
| Popis: | OBJECTIVE To present our experience with 454 patients who had tubeless percutaneous nephrolithotomy (TPCNL) over last 3 years. PATIENTS AND METHODS From September 2004 to August 2007, all patients aged >14 years and undergoing PCNL were considered for TPCNL. Exclusion criteria were the presence of pyonephrosis, matrix calculi, significant bleeding or residual stone burden and need for three of more percutaneous accesses. These patients had a nephrostomy tube placed after PCNL (control group). The remaining patients undergoing TPCNL (study group) had antegrade ureteric stenting. Demographic and perioperative data were compared retrospectively. RESULTS Of 840 patients who had PCNL during the study period, 454 had TPCNL. The two groups had comparable demographic data except for a smaller stone burden (322.8 vs 832.2 mm2) and fewer staghorn calculi (94 vs 154) in patients undergoing TPCNL (P |
| Databáze: | OpenAIRE |
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