scholarly journals Outpatient bilateral supracostal tubeless percutaneous nephrolithotomy for staghorn calculi

2014 ◽  
Vol 8 (3-4) ◽  
pp. 273 ◽  
Author(s):  
Andrea Kokorovic ◽  
James William Lennox Wilson ◽  
Darren Beiko
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Surgical Procedure ◽  
Hospital Costs ◽  
Stable Condition ◽  
Feasible Method ◽  
Staghorn Calculi ◽  
Inpatient Procedure ◽  
Tubeless Pcnl ◽  
Tubeless Percutaneous Nephrolithotomy

Percutaneous nephrolithotomy (PCNL) is the surgical procedure of choice to treat staghorn calculi. Most centres perform PCNL as the traditional inpatient procedure. However, outpatient PCNL has been successfully attempted and represents a feasible method of reducing hospital costs. We report the case of a 35-year-old female who underwent outpatient simultaneous PCNL for bilateral renal staghorn calculi. The patient was discharged in stable condition less than 3 hours following the procedure with minimal discomfort. To the best of our knowledge, this case report is the first to describe a successfully completed outpatient bilateral supracostal tubeless PCNL for staghorn calculi.

scholarly journals Simultaneous bilateral tubeless percutaneous nephrolithotomy:

2013 ◽  
Vol 6 (4) ◽  
pp. 162 ◽  
Author(s):  
Alice Yu ◽  
Walid Shahrour ◽  
Sero Andonian
Keyword(s):  
Hospital Stay ◽  
Percutaneous Nephrolithotomy ◽  
Lower Cost ◽  
Renal Calculi ◽  
Remote Areas ◽  
Tubeless Pcnl ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Postoperative Discomfort

Percutaneous nephrolithotomy (PCNL) is currently the standardof care to remove large renal calculi. Traditionally, a large-borenephrostomy tube is placed postoperatively. However, the necessityof this practice has been recently challenged. Theoretically, bilateral tubeless PCNL offers advantages of lower postoperative discomfort, shorter hospital stay and thus lower cost. We review the literature and present two cases of simultaneous bilateral tubeless PCNL from two patients who were referred to a tertiary stone centre from remote areas.

scholarly journals Tubeless percutaneous nephrolithotomy (pcnl) in renal allografts: a case report and mini-review

2016 ◽  
Vol 10 ◽  
Author(s):  
Siavash Falahatkar ◽  
Gholamreza Mokhtari ◽  
Samaneh Esmaeili ◽  
Seyed Morteza Bashiri Ebrahimian ◽  
Nadia Rastjou Herfeh
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Significant Morbidity ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
Urinary Lithiasis ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Uncommon Complication

Urinary lithiasis in transplanted kidney is a relatively uncommon complication. However, it may lead to a significant morbidity and loss of renal function. The report presents the case of a 32-year-old male renal-transplant recipient, with a stone in renal pelvis who was treated successfully by tubeless percutaneous nephrolithotomy (PCNL). The patient is currently stone free with no complication. This article also reviews in brief the treatment of this rare complication. Reviewing the literature showed that PCNL is safe and feasible procedure for treating nephrolithiasis in a transplanted kidney.

scholarly journals Outpatient percutaneous nephrolithotomy in a renal transplant patient: World’s first case

2015 ◽  
Vol 9 (5-6) ◽  
pp. 324 ◽  
Author(s):  
Kristen McAlpine ◽  
Michael J. Leveridge ◽  
Darren Beiko
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Stable Condition ◽  
Renal Calculi ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
First Case ◽  
Successful Case ◽  
Tubeless Pcnl

Percutaneous nephrolithotomy (PCNL) is an established safe and effective surgical treatment option for renal calculi in renal allografts. The advent of tubeless PCNL has led to reports of ambulatory or outpatient PCNL. This case report describes the successful outpatient management of a 49-year-old female with a symptomatic renal pelvic calculus in her transplanted kidney. Tubeless PCNL successfully removed the stone, free of complication, and the patient was discharged 2 hours and 17 minutes after the procedure in stable condition with minimal pain. This is, to the best of our knowledge, the first successful case of outpatient tubeless PCNL in a transplanted kidney.

scholarly journals Outpatient tubeless percutaneous nephrolithotomy and concomitant cystolitholapaxy

2014 ◽  
Vol 8 (3-4) ◽  
pp. 179
Author(s):  
Kyle J Lehmann ◽  
Darren Beiko
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Healthcare Costs ◽  
Outpatient Surgery ◽  
Renal Stones ◽  
Outpatient Basis ◽  
Tubeless Pcnl ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Inpatient Basis

Percutaneous nephrolithotomy (PCNL) is a widely employed endourologic procedure to remove renal stones. Traditionally, PCNL has been performed on an inpatient basis, with patients routinely hospitalized postoperatively. Given the ongoing rising healthcare costs, a shift toward outpatient surgery is desirable. We report the case of a 21-year-old female who was safely discharged a few hours following uncomplicated tubeless PCNL and concomitant cystolitholapaxy for a stent with encrustation on its distal coil. To the best of our knowledge, this is the first published case of tubeless PCNL with concomitant cystolitholapaxy performed on an entirely outpatient basis.

scholarly journals Intraoperative Patient Selection for Tubeless Percutaneous Nephrolithotomy

2014 ◽  
Vol 99 (5) ◽  
pp. 662-668 ◽  
Author(s):  
Joo Yong Lee ◽  
Kyu Hyun Kim ◽  
Man Deuk Kim ◽  
Doo Yong Chung ◽  
Kang Su Cho
Keyword(s):  
Decision Making ◽  
Percutaneous Nephrolithotomy ◽  
Patient Selection ◽  
Pain Scale ◽  
Scale Scores ◽  
Post Operation ◽  
Selection For ◽  
The Difference ◽  
Tubeless Pcnl ◽  
Tubeless Percutaneous Nephrolithotomy

Abstract This study was conducted to report our experience of intraoperative patient selection for tubeless percutaneous nephrolithotomy (PCNL) based on a tentative decision-making algorithm. Thirty-four consecutive patients who were scheduled to undergo tubeless PCNL were included and medical records were obtained from a prospectively maintained database for these patients. After completion of PCNL, the nephrostomy site was observed with a safety guidewire in place. If there was no significant bleeding through the tract, tubeless PCNL was performed, and in cases with significant bleeding or other complications, nephrostomy catheter insertion was performed as usual. In 29 cases (85.3%), tubeless PCNL was performed according to our decision-making protocol. Mean stone size was 7.33 ± 9.35 cm2. Mean hospital stay was 2.61 ± 1.01 days. The difference between preoperative and postoperative hemoglobin was 0.68 ± 1.22 g/dL (p > 0.05). Visual analog pain scale scores immediately post-operation, on postoperative day one and on the day of discharge were 4.62 ± 1.80, 3.25 ± 1.68 (postoperative day one vs. operative day; p = 0.001), and 1.87 ± 0.83 (the day of discharge vs. operative day; p = 0.001), respectively. The success rate with insignificant remnant stones was 85.2% and complete stone-free rate was 76.5%. In conclusion, tubeless PCNL was performed successfully with low complication rate and reduced pain score through our decision-making algorithm.

scholarly journals Is Tubeless Percutaneous Nephrolithotomy a Feasible Technique for the Treatment of Staghorn Calculi?

2013 ◽  
Vol 54 (10) ◽  
pp. 693 ◽  
Author(s):  
Sang Cheol Lee ◽  
Chang Hee Kim ◽  
Kwang Taek Kim ◽  
Tae Beom Kim ◽  
Khae Hawn Kim ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Staghorn Calculi ◽  
Tubeless Percutaneous Nephrolithotomy
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