Can percutaneous nephrolithotomy be performed as an outpatient procedure?

Objectives: To examine the safety and effectiveness of percutaneous nephrolithotomy (PCNL) as an outpatient procedure, as in most centres PCNL is performed as an inpatient procedure that necessitates postoperative hospital admission. Patients and methods: Our study included 186 patients undergoing P...

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Autores principales: Ahmed Fahmy, Hazem Rhashad, Omer Algebaly, Wael Sameh
Formato: article
Lenguaje:EN
Publicado: Taylor & Francis Group 2017
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Acceso en línea:https://doaj.org/article/c273b3bdf9e84a729358f580da84f8b2
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spelling oai:doaj.org-article:c273b3bdf9e84a729358f580da84f8b22021-12-02T10:04:12ZCan percutaneous nephrolithotomy be performed as an outpatient procedure?2090-598X10.1016/j.aju.2016.11.006https://doaj.org/article/c273b3bdf9e84a729358f580da84f8b22017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300013https://doaj.org/toc/2090-598XObjectives: To examine the safety and effectiveness of percutaneous nephrolithotomy (PCNL) as an outpatient procedure, as in most centres PCNL is performed as an inpatient procedure that necessitates postoperative hospital admission. Patients and methods: Our study included 186 patients undergoing PCNL for renal calculi. Only those who met strict inclusion criteria were discharged home on the same day. Preoperative eligibility criteria for outpatient management included no complex medical problem, normal renal function, and easy access to an emergency room. Patients were divided into two groups. The outpatient group (Group 1) included those patients discharged on the same day as the PCNL and the hospitalised group (Group 2) included those who were considered appropriate for outpatient management but needed to be hospitalised. Results: In all, 162 patients (87%) fulfilled the inclusion criteria for outpatient management and 146 of these patients (90.1%) planned for outpatient management were discharged on the same operative day (Group 1). The mean time to discharge home was 8.97 h. In all, 16 patients who opted for the outpatient approach subsequently required hospitalisation (Group 2). In the hospitalised group the mean operative time was longer, which was probably related to its higher stone burden. Conclusion: PCNL can be safely performed with excellent outcomes as an outpatient procedure. Outpatient PCNL offers several advantages including a more rapid patient convalescence, reduced healthcare expenditure, decreased postoperative nosocomial infections with no additional morbidity for the patient, and with no compromising of the stone-free rate.Ahmed FahmyHazem RhashadOmer AlgebalyWael SamehTaylor & Francis GrouparticlePercutaneous nephrolithotomyOutpatient procedureStandard of careDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 1-6 (2017)
institution DOAJ
collection DOAJ
language EN
topic Percutaneous nephrolithotomy
Outpatient procedure
Standard of care
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Percutaneous nephrolithotomy
Outpatient procedure
Standard of care
Diseases of the genitourinary system. Urology
RC870-923
Ahmed Fahmy
Hazem Rhashad
Omer Algebaly
Wael Sameh
Can percutaneous nephrolithotomy be performed as an outpatient procedure?
description Objectives: To examine the safety and effectiveness of percutaneous nephrolithotomy (PCNL) as an outpatient procedure, as in most centres PCNL is performed as an inpatient procedure that necessitates postoperative hospital admission. Patients and methods: Our study included 186 patients undergoing PCNL for renal calculi. Only those who met strict inclusion criteria were discharged home on the same day. Preoperative eligibility criteria for outpatient management included no complex medical problem, normal renal function, and easy access to an emergency room. Patients were divided into two groups. The outpatient group (Group 1) included those patients discharged on the same day as the PCNL and the hospitalised group (Group 2) included those who were considered appropriate for outpatient management but needed to be hospitalised. Results: In all, 162 patients (87%) fulfilled the inclusion criteria for outpatient management and 146 of these patients (90.1%) planned for outpatient management were discharged on the same operative day (Group 1). The mean time to discharge home was 8.97 h. In all, 16 patients who opted for the outpatient approach subsequently required hospitalisation (Group 2). In the hospitalised group the mean operative time was longer, which was probably related to its higher stone burden. Conclusion: PCNL can be safely performed with excellent outcomes as an outpatient procedure. Outpatient PCNL offers several advantages including a more rapid patient convalescence, reduced healthcare expenditure, decreased postoperative nosocomial infections with no additional morbidity for the patient, and with no compromising of the stone-free rate.
format article
author Ahmed Fahmy
Hazem Rhashad
Omer Algebaly
Wael Sameh
author_facet Ahmed Fahmy
Hazem Rhashad
Omer Algebaly
Wael Sameh
author_sort Ahmed Fahmy
title Can percutaneous nephrolithotomy be performed as an outpatient procedure?
title_short Can percutaneous nephrolithotomy be performed as an outpatient procedure?
title_full Can percutaneous nephrolithotomy be performed as an outpatient procedure?
title_fullStr Can percutaneous nephrolithotomy be performed as an outpatient procedure?
title_full_unstemmed Can percutaneous nephrolithotomy be performed as an outpatient procedure?
title_sort can percutaneous nephrolithotomy be performed as an outpatient procedure?
publisher Taylor & Francis Group
publishDate 2017
url https://doaj.org/article/c273b3bdf9e84a729358f580da84f8b2
work_keys_str_mv AT ahmedfahmy canpercutaneousnephrolithotomybeperformedasanoutpatientprocedure
AT hazemrhashad canpercutaneousnephrolithotomybeperformedasanoutpatientprocedure
AT omeralgebaly canpercutaneousnephrolithotomybeperformedasanoutpatientprocedure
AT waelsameh canpercutaneousnephrolithotomybeperformedasanoutpatientprocedure
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