Çukurova Üniversitesi Tıp Fakültesi Dergisi (Aug 2013)

Practice of Totally Tubeless Nephrolitotomy among Patients with Renal Calculus

  • Musa Ekici,
  • Ismail Nalbant,
  • Hasan Nedim Goksel Goktug,
  • Ufuk Ozturk,
  • Nevzat Can Sener,
  • Abdurrahim Imamoglu

Journal volume & issue
Vol. 38, no. 4
pp. 636 – 641

Abstract

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Purpose: We aimed to present the data on totally tubeless nephrolitotomy (PNL) outcomes undergone in our clinic. Materials and Methods: We retrospectively analyzed 140 patients undergone totally tubeless PNL in our clinic between January 2010 and December 2012. Results: Mean patient age was 47,84 (5-73). Mean operative time was 88,8 (45-110) minutes where mean stone area was 375,3 (110-175) mm2 . 92,8% was our stone free rate. Remaining 10 patients had undergone ureterorenoscopy for ureteral stones. Two patients having non-opaque stones had residual kidney stones and treated by SWL. 8 patients (%5,7) needed blood transfusion, 2 patients needed perirenal hematoma and treated conservatively. No patients needed additional treatment or encountered vascular complications. One patient encountered serozal colon injury and treated conservatively. Conclusion: With regard to patient comfort, shorter hospital stay, low analgesic requirement, totally tubeless PNL gained popularity. We believe totally tubeless PNL may be used in suitable cases. Key Words: Kidney Stone, Totally Tubeless, Nephrolithotomy [Cukurova Med J 2013; 38(4.000): 636-641]

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