Standard versus Tubeless Percutaneous Nephrolithotomy in Tertiary Care Centre: A Randomized Control Trial
Standard Versus Tubeless Percutaneous Nephrolithotomy
DOI:
https://doi.org/10.54393/pjhs.v3i02.44Keywords:
Percutaneous nephrolithotomy, Nephrostomy tube, ComplicationsAbstract
Nephrolithiasis is a common health problem usually presenting as acute complication. Objective: This study was aimed to know the comparative outcomes of the standard tube PCNL and tubeless PCNL in our population. Methods: It was a prospective randomized controlled study conducted in Lady Reading Hospital Peshawar; Urology Department consisting of 100 patients randomly selected who underwent percutanatous nephrolithotomy dividing into two groups; group 1 underwent through standard PCNL and group 2 underwent through tubeless PCNL. All the data were analyzed through SPSS version 20. Means and standard deviations of the quantitative variables and frequencies and percentages of the qualitative variables were determined. Results: There was no significant difference in the demographics of both the groups. The mean operation time, hospital stay in group 1 (standard PCNL) were 86.06 ± 7.20 and 6.46 ± 0.97 respectively while the mean of operation time, hospital stay in group2 (tubeless PCNL) were 83.68 ± 3.81 and 3.42 ± 0.81, respectively. The mean of visual analogue scale scores for pain in group 1 and group 2 were 6.24 ± 0.71 and 3.70 ± 0.81, respectively. There as significant difference in the VAS score of both groups. Post operative complications were less seen in the tubeless PCNL. Conclusions: The tubeless PCNL is a safe technique having short operation time and statistically significant short hospital stay and low Visual Analogue Scale score for pain post operatively. Tubeless PCNL is associated with less post operative complications as compared to the standard PCNL.
References
Alelign T, Petros B. Kidney Stone Disease: An Update on Current Concepts. Advances in Urology. 2018 Feb; 2018:3068365. doi: 10.1155/2018/3068365.
Metzler IS, Smith-Bindman R, Moghadassi M, Wang RC, Stoller ML, Chi T. Emergency Department Imaging Modality Effect on Surgical Management of Nephrolithiasis: A Multicenter, Randomized Clinical Trial. Journal of Urology. 2017 Mar; 197(3 Pt 1):710-714. doi: 10.1016/j.juro.2016.09.122.
Marshall V, White RH, De Saintonge MC, Tresidder GC, Blandy JP. The natural history of renal and ureteric calculi. British Journal of Urology. 1975 Apr; 47(2):117-24. doi: 10.1111/j.1464-410x.1975.tb03930.x.
Coe FL, Parks JH, Asplin JR. The pathogenesis and treatment of kidney stones. New England Journal of Medicine. 1992 Oct; 327(16):1141-52. doi: 10.1056/NEJM199210153271607.
Rassweiler JJ, Renner C, Chaussy C, Thüroff S. Treatment of renal stones by extracorporeal shockwave lithotripsy: an update. European Urology. 2001 Feb; 39(2):187-99. doi: 10.1159/000052435.
Erkurt B, Caskurlu T, Atis G, Gurbuz C, Arikan O, Pelit ES, et al. Treatment of renal stones with flexible ureteroscopy in preschool age children. Urolithiasis. 2014 Jun; 42(3):241-5. doi: 10.1007/s00240-013-0636-x.
Riley JM, Stearman L, Troxel S. Retrograde ureteroscopy for renal stones larger than 2.5 cm. Journal of Endourology. 2009 Sep; 23(9):1395-8. doi: 10.1089/end.2009.0391.
Ferakis N, Stavropoulos M. Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones: Lessons learned from a review of the literature. Urology Annals. 2015 Jun; 7(2):141-8. doi: 10.4103/0974-7796.152927.
Aminsharifi A, Irani D, Masoumi M, Goshtasbi B, Aminsharifi A, Mohamadian R. The management of large staghorn renal stones by percutaneous versus laparoscopic versus open nephrolithotomy: a comparative analysis of clinical efficacy and functional outcome. Urolithiasis. 2016 Nov; 44(6):551-557. doi: 10.1007/s00240-016-0877-6.
Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scandinavian Journal of Urology. 1976; 10(3):257-9. doi: 10.1080/21681805.1976.11882084.
Sebaey A, Khalil MM, Soliman T, Mohey A, Elshaer W, Kandil W, et al. Standard versus tubeless mini-percutaneous nephrolithotomy: A randomised controlled trial. Arab Journal of Urology. 2016 Mar; 14(1):18-23. doi: 10.1016/j.aju.2015.11.005.
Eslahi A, Irani D, Hosseini MM, Safarpour AR. Totally tubeless percutaneous nephrolithotomy: a comparison with tubeless and standard methods. Nephro-Urology Monthly. 2017 Jul; 9(4).
Wang J, Zhao C, Zhang C, Fan X, Lin Y, Jiang Q. Tubeless vs standard percutaneous nephrolithotomy: a meta-analysis. BJU International. 2012 Mar; 109(6):918-24. doi: 10.1111/j.1464-410X.2011.10463.x.
Bellman GC, Davidoff R, Candela J, Gerspach J, Kurtz S, Stout L. Tubeless percutaneous renal surgery. Journal of Urology. 1997 May; 157(5):1578-82.
Zilberman DE, Lipkin ME, de la Rosette JJ, Ferrandino MN, Mamoulakis C, Laguna MP, Preminger GM. Tubeless percutaneous nephrolithotomy--the new standard of care? Journal of Urology. 2010 Oct; 184(4):1261-6. doi: 10.1016/j.juro.2010.06.020.
Wickham JE, Miller RA, Kellett MJ, Payne SR. Percutaneous nephrolithotomy: one stage or two? British Journal of Urology. 1984 Dec; 56(6):582-5. doi: 10.1111/j.1464-410x.1984.tb06121.x.
Feng MI, Tamaddon K, Mikhail A, Kaptein JS, Bellman GC. Prospective randomized study of various techniques of percutaneous nephrolithotomy. Urology. 2001 Sep; 58(3):345-50. doi: 10.1016/s0090-4295(01)01225-0.
Desai MR, Kukreja RA, Desai MM, Mhaskar SS, Wani KA, Patel SH, et al. A prospective randomized comparison of type of nephrostomy drainage following percutaneous nephrostolithotomy: large bore versus small bore versus tubeless. Journal of Urology. 2004 Aug; 172(2):565-7. doi: 10.1097/01.ju.0000130752.97414.c8.
Tefekli A, Altunrende F, Tepeler K, Tas A, Aydin S, Muslumanoglu AY. Tubeless percutaneous nephrolithotomy in selected patients: a prospective randomized comparison. International Urology and Nephrology. 2007; 39(1):57-63. doi: 10.1007/s11255-006-9040-6.
Shah HN, Sodha HS, Khandkar AA, Kharodawala S, Hegde SS, Bansal MB. A randomized trial evaluating type of nephrostomy drainage after percutaneous nephrolithotomy: small bore v tubeless. Journal of Endourology. 2008 Jul; 22(7):1433-9. doi: 10.1089/end.2007.0350.
Singh I, Singh A, Mittal G. Tubeless percutaneous nephrolithotomy: is it really less morbid? Journal of Endourology. 2008 Mar; 22(3):427-34. doi: 10.1089/end.2007.0269.
Sofer M, Lidawi G, Keren-Paz G, Yehiely R, Beri A, Matzkin H. Tubeless percutaneous nephrolithotomy: first 200 cases in Israel. Israel Medical Association Journal. 2010 Mar; 12(3):164-7.
Falahatkar S, Khosropanah I, Roshani A, Neiroomand H, Nikpour S, Nadjafi-Semnani M, et al. Tubeless percutaneous nephrolithotomy for staghorn stones. Journal of Endourology. 2008 Jul; 22(7):1447-51. doi: 10.1089/end.2007.0285.
Crook TJ, Lockyer CR, Keoghane SR, Walmsley BH. Totally tubeless percutaneous nephrolithotomy. Journal of Endourology. 2008 Feb; 22(2):267-71. doi: 10.1089/end.2006.0034.
Marcovich R, Jacobson AI, Singh J, Shah D, El-Hakim A, Lee BR, et al. No panacea for drainage after percutaneous nephrolithotomy. Journal of Endourology. 2004 Oct; 18(8):743-7. doi: 10.1089/end.2004.18.743.
Agrawal MS, Agrawal M, Gupta A, Bansal S, Yadav A, Goyal J. A randomized comparison of tubeless and standard percutaneous nephrolithotomy. Journal of Endourology. 2008 Mar; 22(3):439-42. doi: 10.1089/end.2007.0118.
Aghamir SM, Hosseini SR, Gooran S. Totally tubeless percutaneous nephrolithotomy. Journal of Endourology. 2004 Sep; 18(7):647-8. doi: 10.1089/end.2004.18.647.
Borges CF, Fregonesi A, Silva DC, Sasse AD. Systematic Review and Meta-Analysis of Nephrostomy Placement Versus Tubeless Percutaneous Nephrolithotomy. Journal of Endourology. 2010 Oct 19. doi: 10.1089/end.2010.0231.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments