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Dr. Yasser Abdelsattar Noureldin :: Publications:

Title:
Preliminary Study of Percutaneous Nephrolithotomy on an Ambulatory Basis
Authors: Magdy Ahmed El-Tabey, Osama Abdel-Wahab Abd-Allah, Ahmed Sebaey Ahmed, Ehab Mohammed El-Barky, and Yasser Abdel-Sattar Noureldin
Year: 2014
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link:
Full paper Yasser Abdelsattar Noureldin_APCNL.pdf
Supplementary materials Not Available
Abstract:

Objective Preliminary study to assess the feasibility and safety of percutaneous nephrolithotomy (PCNL) as an ambulatory procedure. Patients and Methods Between February 2011 and September 2012, 84 patients with renal calculi fulfilling the inclusion criteria were admitted to the Urology Department of Benha University Hospitals for PCNL. All patients were subjected to a full medical history, clinical, laboratory and radiological examinations. Tubeless PCNLs were done in the supine position, and an antegrade double-J stent was inserted. Operative time and intraoperative complications were recorded. Postoperatively, the hematocrit value, postoperative pain and analgesics, need of blood transfusion, stone-free rate, and length of hospital stay were recorded. Stable patients that could be safely discharged within 24 hours after surgery were considered ambulatory. Results All cases of tubeless PCNL were successfully done and no cases converted to open surgery. The overall stone-free rate was 91.7%, the mean postoperative pain score measured by the visual analog scale was 4.4 ± 1.2, the mean overall hematocrit deficit was 4.8 ± 2.2% and the mean hospital stay was 33.4 ± 17.5 hours. Ambulatory PCNL was accomplished in 60 out of 84 patients (71.4%) and double-J stents were removed 7-10 days postoperatively. In the non-ambulatory cases, double-J stents were removed after auxillary procedures were done according to each case. Conclusion PCNL can be safely done on an ambulatory basis under strict criteria, but further studies are needed to confirm and expand these findings. Key Words: Stones, Percutaneous nephrolithotomy

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