MP23-01 A RANDOMISED CONTROLLED STUDY COMPARING STANDARD TUBELESS PCNL & TUBELESS MINI-PCNL FOR RENAL STONES LESS THAN 2 CM

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP23-01 A RANDOMISED CONTROLLED STUDY COMPARING STANDARD TUBELESS PCNL & TUBELESS MINI-PCNL FOR RENAL STONES LESS THAN 2 CM Aditya Yelikar Aditya YelikarAditya Yelikar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003248.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: PCNL has become a standard minimally invasive treatment for renal stones. Tubeless PCNL is associated with less morbidity. Miniaturisation of instruments leads decrease morbidity of procedure. We compared standard tubeless PCNL to Miniperc tubeless PCNL for morbidity and stone free rates in order to improve outcomes of PCNL with minimal morbidity. METHODS: Our study included 100 patients, 50 patients in group 1 (standard tubeless PCNL) & 50 patients in group 2 (tubeless mini PCNL) , with single renal stone less than 2 cm. Patients with CKD, solitary kidney, ectopic kidney and previous diversion were excluded. Tract was dilated upto 24 Fr in group 1 & upto 16 Fr in group 2. No percutaneous nephrostomy was kept. Post operative pain score was monitored at 12 and 24 hours. Additional analgesia was given if needed. Hemoglobin was measured pre operatively & on post op day 1. Stone clearance was checked with ultrasonography & XRay KUB (kidney-ureter-bladder). Total Operative time , pain score, analgesic requirement, haemoglobin drop, complications (bleeding, fever, urinary leak, urosepsis, hydro or pneumothorax) and stone free rate were compared. RESULTS: Miniperc operative time was longer than standard PCNL (45±10 vs 35±8 mins. p<0.001). Median pain score at 12 and 24 hours was more in group 1 than in group 2 (6±1 VS 4±1, p<0.0001 and 3±1 vs 2±1, p<0.001). Post operative hemoglobin drop was more in group 1 than in group 2 (0.95±0.2 VS 0.6±0.1, p<0.0001). Stone clearance in group 1 was 100% while in group 2 it was 95%. There was no significant difference in complications between the two groups. CONCLUSIONS: Both Standard tubeless PCNL & tubeless Mini PCNL are effective for renal stones less than 2 cm. Operative time is more in tubeless Mini PCNL whereas pain score, analgesics requirement and hemoglobin drop are more in standard tubeless PCNL comparatively. Stone clearance in both groups is comparable and more than 95%. Source of Funding: Nil © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e306 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Aditya Yelikar More articles by this author Expand All Advertisement PDF downloadLoading ...