Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study

Introduction: Exit strategy at the end of percutaneous nephrolithotomy (PCNL) differs from center to center and patient to patient. Standard PCNL has been practiced so far with minor postoperative morbidities. Tubeless PCNL, which obviates most of the nephrostomy related morbidities, has been chall...

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Autores principales:	Pawan Raj Chalise, Bhojraj Luitel, Suman Chapagain, Sujeet Poudyal, Prem Raj Gyawali, Uttam Kumar Sharma, Bhola Raj Joshi
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2017
Materias:	Morbidity PCNL Standard PCNL Tubeless PCNL Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3f33e0df900d49feacc3bb159c7e65d7
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spelling	oai:doaj.org-article:3f33e0df900d49feacc3bb159c7e65d72021-12-05T19:16:00ZIs nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study10.3126/jssn.v20i2.243801815-39842392-4772https://doaj.org/article/3f33e0df900d49feacc3bb159c7e65d72017-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24380https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Exit strategy at the end of percutaneous nephrolithotomy (PCNL) differs from center to center and patient to patient. Standard PCNL has been practiced so far with minor postoperative morbidities. Tubeless PCNL, which obviates most of the nephrostomy related morbidities, has been challenged for its safety. So this study was conducted to compare the safety and morbidity of tubeless PCNL with standard PCNL. Methods: Patients who had undergone PCNL, were randomized into group 1 (standard) and group 2 (tubeless) using computer generated random table. In group 1, nephrostomy tube was placed at the end of the procedure and tubes were omitted in group 2 patients. All preoperative, intraoperative and postoperative parameters were recorded and compared in between the groups. Results: Ninety six PCNLs were randomized into group 1 (47 patients) and group 2 (49 patients). Patients’ characteristics including age, sex, comorbidities, preoperative parameters, size and number of stones and mean operation time were comparable in between the groups. The incidence of postoperative fever, pain and analgesic requirement and urinary leak were found more in group 1 patients. The incidence of postoperative complications and events were comparable in both the groups except for blood transfusion. The mean length of postoperative hospital stay for patients in group 2 was significantly low as compared to group 1. Conclusion: Tubeless PCNL is safe and has less morbidity as compared to standard PCNL in selected cases. Pawan Raj ChaliseBhojraj LuitelSuman ChapagainSujeet PoudyalPrem Raj GyawaliUttam Kumar SharmaBhola Raj JoshiSociety of Surgeons of NepalarticleMorbidityPCNLStandard PCNLTubeless PCNLSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 20, Iss 2 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Morbidity PCNL Standard PCNL Tubeless PCNL Surgery RD1-811
spellingShingle	Morbidity PCNL Standard PCNL Tubeless PCNL Surgery RD1-811 Pawan Raj Chalise Bhojraj Luitel Suman Chapagain Sujeet Poudyal Prem Raj Gyawali Uttam Kumar Sharma Bhola Raj Joshi Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study
description	Introduction: Exit strategy at the end of percutaneous nephrolithotomy (PCNL) differs from center to center and patient to patient. Standard PCNL has been practiced so far with minor postoperative morbidities. Tubeless PCNL, which obviates most of the nephrostomy related morbidities, has been challenged for its safety. So this study was conducted to compare the safety and morbidity of tubeless PCNL with standard PCNL. Methods: Patients who had undergone PCNL, were randomized into group 1 (standard) and group 2 (tubeless) using computer generated random table. In group 1, nephrostomy tube was placed at the end of the procedure and tubes were omitted in group 2 patients. All preoperative, intraoperative and postoperative parameters were recorded and compared in between the groups. Results: Ninety six PCNLs were randomized into group 1 (47 patients) and group 2 (49 patients). Patients’ characteristics including age, sex, comorbidities, preoperative parameters, size and number of stones and mean operation time were comparable in between the groups. The incidence of postoperative fever, pain and analgesic requirement and urinary leak were found more in group 1 patients. The incidence of postoperative complications and events were comparable in both the groups except for blood transfusion. The mean length of postoperative hospital stay for patients in group 2 was significantly low as compared to group 1. Conclusion: Tubeless PCNL is safe and has less morbidity as compared to standard PCNL in selected cases.
format	article
author	Pawan Raj Chalise Bhojraj Luitel Suman Chapagain Sujeet Poudyal Prem Raj Gyawali Uttam Kumar Sharma Bhola Raj Joshi
author_facet	Pawan Raj Chalise Bhojraj Luitel Suman Chapagain Sujeet Poudyal Prem Raj Gyawali Uttam Kumar Sharma Bhola Raj Joshi
author_sort	Pawan Raj Chalise
title	Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study
title_short	Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study
title_full	Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study
title_fullStr	Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study
title_full_unstemmed	Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study
title_sort	is nephrostomy tube a rule following all percutaneous nephrolithotomy (pcnl)? a prospective randomized study
publisher	Society of Surgeons of Nepal
publishDate	2017
url	https://doaj.org/article/3f33e0df900d49feacc3bb159c7e65d7
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Is nephrostomy tube a rule following all Percutaneous Nephrolithotomy (PCNL)? A prospective randomized study

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