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Standard versus tubeless mini-percutaneous nephrolithotomy: A randomised controlled trial

Arab journal of urology • 2016
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Publication Information
Authors Ahmed Sebaey, Mostafa M. Khalil *, Tarek Soliman, Ahmed Mohey,Walid Elshaer, Wael Kandil, Rabea Omar
Keywords Mini-percutaneous nephrolithotomy; Tubeless percutaneous nephrolithotomy; Renal stones; Nephrostomy tube
Journal Arab journal of urology
Publisher Elsevier
Volume 14
Issue 1
Pages 18-23
publication.type International
Paper Link Open Link
Supplementary Materials Not Available
Abstract
Objective: To prospectively compare the outcome of standard minipercutaneous nephrolithotomy (SmPCNL) versus tubeless mini-percutaneous
nephrolithotomy (TmPCNL) as primary treatments of renal stones.
Patients and methods: In all, 80 patients with a solitary radio-opaque renal stone
and candidates for PCNL were selected. The patients were randomly divided into
two groups of 40, one group treated with SmPCNL and the other with TmPCNL.
Patients and stone characters, as well as operative and postoperative data of both
groups were compared and statistically analysed.
Results: There was no significant difference between the two groups for patient
demographics and stone characteristics. There was no statistically significant difference between the two groups for the mean operative time, mean postoperative drop
in haemoglobin, mean postoperative urine leakage, mean hospital stay, and stonefree rate. The mean (SD) postoperative dose of analgesia was statistically significantly higher in the SmPCNL group compared with the TmPCNL group, at 112.5
(48.03) versus 48.8 (43.5) mg, respectively.