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Effectiveness of totally tubeless percutaneous nephrolithotomy a retrospective study
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چکیده: (9918 مشاهده) |
| since open surgery in urinary stone surgery has been replaced with percutaneous
nephrolithotomy (PCNL), several studies have been done to modify this technique to reduce
complications, hospitalization and costs. So, this study design to evaluated effectiveness of totally
tubeless percutaneous nephrolithotomy. we reviewed 29 patients who underwent totally tubeless PCNL at
our 2 centers from February 2011 to September 2012. All surgeries were performed by one surgeon.
Based on inclusion criteria, 25 patients were enrolled in this study. All patients´ data was analyzed by
SPSS version 18. 25 patients (18 male and 7 female) with the mean age of 50.32±11.50 years were
undergone totally tubeless PCNL procedure. The mean stone size was 35.72±7.39 mm. The mean
operation duration was 48.24±4.29 minutes. The mean hemoglobin drop was 1.38±1.00mg/dl. Only two
patients (8%) requirement blood transfusion (each patients received 1U pack cell). Data showed all
patients used NSAID (diclofenac suppository) analgesic and also, 8 patients (32%) needed narcotic
analgesic (Pethidine) with mean dose of 34.37±12.93mg. complications was observed in 2 patients (8%)
(One patient had high fever and one other had prolong renal pain). The mean length of hospital stay was
1.28±0.54 days. our study show the totally tubeless PCNL surgery is a safe procedure with low analgesic
requirement, low complication rate and lower hospitalization time. |
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نوع مطالعه: پژوهشي |
موضوع مقاله:
عمومى
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