Tubeless simultaneous bilateral percutaneous nephrolithotomy: Safety, feasibility and efficacy in an Indian setting

Sunil Pillai, Dilip Mishra, Pritam Sharma, Giridhar Venkatesh, Arun Chawla, Padmaraj Hegde, Joseph Thomas

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objectives: To study the safety, feasibility and efficacy of tubeless simultaneous bilateral percutaneous nephrolithotomy. Methods: We retrospectively studied 85 patients who underwent tubeless simultaneous bilateral percutaneous nephrolithotomy in the Department of Urology, Kasturba Medical College, Manipal, Karnataka, India, from July 2006 to June 2013. The demographic profile and outcomes were compared with the other existing series reported in the literature. Results: A total of 65 male and 20 female patients with a mean age of 45.7±11.6 years underwent tubeless simultaneous bilateral percutaneous nephrolithotomy. The mean stone burden was 299mm2, with 12 staghorn calculi. Mean operative time was 87.6±35.5min. A total of 95% of stones were cleared with single access tracts. The success rate of tubeless simultaneous bilateral percutaneous nephrolithotomy (stone clearance) was 95.2%. Mean hemoglobin drop was 1.1±0.9gm% per patient, with 10.5% of patients requiring blood transfusion. Mean hospital stay was 69.6±28.4h. Complications included urosepsis (Clavien grade 4), acute kidney injury requiring hemodialysis (grade 3), pneumonia (grade=2) and hydrothorax requiring intercostal drainage tube insertion (grade 3). On follow up, 4.7% of the renal units required ancillary procedures. Conclusions: Our findings confirm that tubeless simultaneous bilateral percutaneous nephrolithotomy is a safe and effective modality of treatment. It allows obviating a second anesthetic exposure, thus reducing analgesic requirement, hospitalization time and costs. This translates into a significant socioeconomic impact on the outlook of Indian patients presenting with bilateral renal stone disease.

Original languageEnglish
Pages (from-to)497-502
Number of pages6
JournalInternational Journal of Urology
Volume21
Issue number5
DOIs
Publication statusPublished - 01-01-2014

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Percutaneous Nephrostomy
Safety
Hydrothorax
Kidney
Urology
Feasibility Studies
Operative Time
Acute Kidney Injury
Blood Transfusion
Analgesics
Renal Dialysis
Anesthetics
Drainage
India
Length of Stay
Pneumonia
Hemoglobins
Hospitalization
Demography
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

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abstract = "Objectives: To study the safety, feasibility and efficacy of tubeless simultaneous bilateral percutaneous nephrolithotomy. Methods: We retrospectively studied 85 patients who underwent tubeless simultaneous bilateral percutaneous nephrolithotomy in the Department of Urology, Kasturba Medical College, Manipal, Karnataka, India, from July 2006 to June 2013. The demographic profile and outcomes were compared with the other existing series reported in the literature. Results: A total of 65 male and 20 female patients with a mean age of 45.7±11.6 years underwent tubeless simultaneous bilateral percutaneous nephrolithotomy. The mean stone burden was 299mm2, with 12 staghorn calculi. Mean operative time was 87.6±35.5min. A total of 95{\%} of stones were cleared with single access tracts. The success rate of tubeless simultaneous bilateral percutaneous nephrolithotomy (stone clearance) was 95.2{\%}. Mean hemoglobin drop was 1.1±0.9gm{\%} per patient, with 10.5{\%} of patients requiring blood transfusion. Mean hospital stay was 69.6±28.4h. Complications included urosepsis (Clavien grade 4), acute kidney injury requiring hemodialysis (grade 3), pneumonia (grade=2) and hydrothorax requiring intercostal drainage tube insertion (grade 3). On follow up, 4.7{\%} of the renal units required ancillary procedures. Conclusions: Our findings confirm that tubeless simultaneous bilateral percutaneous nephrolithotomy is a safe and effective modality of treatment. It allows obviating a second anesthetic exposure, thus reducing analgesic requirement, hospitalization time and costs. This translates into a significant socioeconomic impact on the outlook of Indian patients presenting with bilateral renal stone disease.",
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Tubeless simultaneous bilateral percutaneous nephrolithotomy : Safety, feasibility and efficacy in an Indian setting. / Pillai, Sunil; Mishra, Dilip; Sharma, Pritam; Venkatesh, Giridhar; Chawla, Arun; Hegde, Padmaraj; Thomas, Joseph.

In: International Journal of Urology, Vol. 21, No. 5, 01.01.2014, p. 497-502.

Research output: Contribution to journalArticle

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AU - Pillai, Sunil

AU - Mishra, Dilip

AU - Sharma, Pritam

AU - Venkatesh, Giridhar

AU - Chawla, Arun

AU - Hegde, Padmaraj

AU - Thomas, Joseph

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