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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2017
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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) |
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Percutaneous nephrolithotomy Outpatient procedure Standard of care Diseases of the genitourinary system. Urology RC870-923 |
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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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