Original Research Article
Year: 2023 | Month: August | Volume: 13 | Issue: 8 | Pages: 23-26
DOI: https://doi.org/10.52403/ijhsr.20230804
Outcome of Tubeless Percutaneous Nephrolithotomy: A Retrospective Study
Mohamad Anish Ahamad1, Amit Kumar Shah2, Ravi Kiran Gautam3, Emran Ansari4
1Urology unit, Department of surgery, National medical college and teaching hospital Birgunj, Nepal
2B & C teaching hospital, Birtamod, Nepal
3Nepal Mediciti Hospital, Kathmandu, Nepal
4Birat Medical College, Biratnagar, Nepal
Corresponding Author: Mohamad Anish Ahamad
ABSTRACT
INTRODUCTION: Percutaneous nephrolithotomy (PCNL) is used to treat the urological condition nephrolithiasis. For large (>2cm) and complicated renal calculi, percutaneous nephrolithotomy (PCNL) is the treatment of choice. At the end of standard pcnl, a double j stent and nephrostomy are placed. The double j stent is inserted only at the very end of the surgical procedure in tubeless PCNL. This study was carried out in order to analyze the outcome and safety of tubeless PCNL.
MATERIALS AND METHODS: After IRC approval (ref # f-nmc/649/079-080), this study was carried out in the urology unit of the department of surgery at the National Medical College in Birgunj, Nepal, from June 2021 to May 2023. During this period, 75 patients underwent tubeless PCNL.
RESULTS: Seventy-five patients underwent planned tubeless pcnl in this study. The overall mean age was 37.33±16.86 years, with 29 men (38.6%) and 46 females (70.95%). Mean stone size 3.86±0.56mm, stone presentation 47 (62.6%), left side 25 (33.33%), and bilateral 3 (4.0%). The average operative time (min) was 55.8±18.6, and the average drop haemoglobin (mg/dl) was 0.864±0.98. The average hospital stay was 3.2±0.51 days. 67 (89.3%) of the patients had complete stone clearance.
CONCLUSION: Since tubeless pcnl is safer, more cost-effective, has fewer complications, requires fewer hospital stays, and is more convenient for patients, it is currently gaining preference.
Key words: Kidney calculi, Tubeless Percutaneous nephrostomy, Treatment outcomes