Volume 22 Issue 10
Oct.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(10): 1679-1683
LIU Jun, HE Wei, LOU Yanting, LU Zhaoxiang, SHI Dong, TANG Yurui. Safety and feasibility of partial tubeless percutaneous nephrolithotripsy[J]. Chinese Journal of General Practice, 2024, 22(10): 1679-1683. doi: 10.16766/j.cnki.issn.1674-4152.003710
Citation: LIU Jun, HE Wei, LOU Yanting, LU Zhaoxiang, SHI Dong, TANG Yurui. Safety and feasibility of partial tubeless percutaneous nephrolithotripsy[J]. Chinese Journal of General Practice, 2024, 22(10): 1679-1683. doi: 10.16766/j.cnki.issn.1674-4152.003710
shu

Safety and feasibility of partial tubeless percutaneous nephrolithotripsy

doi: 10.16766/j.cnki.issn.1674-4152.003710

  • Department of Urology, the Chaohu Hospital of Anhui Medical University, Hefei, Anhui 238000, China

Funds:

 KJ2021A0335

  • Received Date: 2024-02-05
    Available Online: 2024-12-28
    Abstract
  •   Objective   To investigate the safety and clinical efficacy of partial tubeless percutaneous nephrolithotripsy(PCNL).   Methods   A total of 87 patients with renal ureteral stones admitted to the Chaohu Hospital of Anhui Medical University between January 2021 to June 2023 were divided into 47 cases in the traditional percutaneous nephrolithotomy (with indwelling nephrostomy tube and double J-tube) surgical group and 40 cases in the percutaneous nephrolithotomy partially untubed (with indwelling double J-tube only) surgical group according to surgical methods. All 87 surgical procedures were performed by the same surgical team. The data pertaining to the preoperative and perioperative periods, along with the factors that may potentially influence the incidence factors that may potentially influence the incidence of complications associated with percutaneous nephrolithotomy were comparable between the two groups.   Results   In the traditional percutaneous nephroscopic surgery group, the postoperative hospitalization duration [7.00 (6.00, 9.00) d vs. 5.00 (4.00, 6.00) d], first time out of bed [4.00 (3.00, 5.00) d vs. 2.00 (2.00, 3.00) d], incidence of postoperative complications [17 cases (36.2%) vs. 3 cases (7.5%)] and postoperative VAS score [7.00 (7.00, 8.00) vs. 5.00 (5.00, 5.00)] were significantly different from those in the percutaneous nephroscopic partial tubeless surgery group (P < 0.05). With the exception of gender, the two groups exhibited statistically significant differences in preoperative age, BMI and STONE score. Preoperative urinary leukocytes, comorbidities of diabetes mellitus, hypertension, and cardiac disease did not reach statistical significance (P>0.05). A multifactorial analysis revealed that STONE score and surgical approach were independent risk factors for postoperative complications.   Conclusion   Percutaneous nephrolithotomy for partial tubelessness offers significant advantages in terms of surgical safety, postoperative VAS score, postoperative recovery time, average hospital stay, treatment cost, and treatment efficiency. It is therefore a procedure that merits further promotion.

     

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