Safety and Efficacy of Day Case Tubeless Percutaneous Nephrolithotomy

Abstract

Abstract Objective to determine the outcome of day cases tubeless PCNL with only 12 hours hospital stay regarding vital data, postoperative bleeding and pain. Materials and Methods We prospectively reviewed 50 patients presenting to our university hospital with renal pelvic radioopaque stones less than 2 cm underwent tubeless PCNL discharged within 12 hours postoperatively. Operation time ,Occurrence of intraoperative complications and Post operative vital data , hemoglobin level were recorded Results All 50 patient ,16 female ,34 male patient underwent totally tubeless PCNL , intraoperatively , the operation time ranging from 45 to 85 minutes . postoperatively , the study revealed that 3 patients were found hypotensive( 6%), fever more than 38 degree occurred in 7 patients (14%) . Hemoglobin level dropped more than 1gm/dl in only 4 patients 8% , blood transfusion needed in only 2 patients , hospital readmission was needed by 7 patients (14%) within 1 week postoperatively. Outpatient follow up of the patients underwent daycase PCNL revealed that 39 patient returned to normal activities within 4 days (78%) but 11 patients took 4-7 days( 12%) Conclusions Tubeless PCNL is safe, feasible, and less morbid alternative to classic PCNL . decreased period of hospital stay , rapid return to normal social activities decreasing the economic burden regarding person and society.