Tubeless percutaneous nephrolithotomy versus standart nephrolithotomy in geriatric patients: Single surgeon experience

AbstractAim: Percutaneous nephrolithotomy(PCNL) is the most effective and reliable surgical procedure in the world fob large renal stones. Tubeless PCNL(T-PCNL) has recently been used effectively.The aim of our study is to compare two methods in elderly patients who underwent T-PCNL and Standart PCNL(S-PCNL).Material and Methods: Our study included 60 patients over 60 years of age who underwent operation for renal stones in Beylikduzu State Hospital.T-PCNL was performed on 30 of these patients,whereas S-PCNL was performed on the remaining 30 patients.The mean age, presence of hypertension and diabetes,body-mass index(BMI) and stone size information was recorded within the framework of demographic data of the patients.Length of intraoperative and postoperative hospital stays, operation times,stone free rates,requirement of preoperative blood transfusion,decrease in postoperative hemoglobin,decrease in postoperative parenchymal thickness and Clavien scores were reviewed.Chi-square test and Student T Test was used for statistical analysis.Results: In the light of the intraoperative and postoperative data,a statistically significant difference was found in favor of T-PCNL group compared to the S-PCNL group,in terms of length of hospital stays,operation times and postoperative narcotic analgesic use (p

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1. Johnson CM, Wilson DM, O’Fallon WM, et al. Renal Stone epidemiology: a 25-year study in Rochester,Minnesota. Kidney Int 1979;16:624-31.
2. Sahin A, Akan S. Laparoscopic surgery for upper ureteral calculi in geriatric patients: 5 years of experience. The Aging Male 2019:1-5.
3. Goodwin WE, Casey WC, Woolfe W. Percutaneous trocar (needle)nephrostomy in hydronephrosis. JAMA 1955;157:891-4.
4. Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol 1976;10:257-9.
5. Bellman GC, Davidoff R, Candela J, et al. Tubeless percutaneous renal surgery. J Urol 1997;157:1578-82.
6. Turk C, Petřík A, Sarica K, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol 2016;69:475-82.
7. Besiroglu H, Merder E. Dedekarginoglu. Percutaneous nephrolithotomy is safe and effective in aging male patients:a single center experience. Aging Male 2019:1-6.
8. Antonelli JA, Pearle MS. Advances in percutaneous nephrolithotomy. Urol Clin North Am 2013;40:99-113.
9. Nakamon T, Kitirattrakarn P, Lojanapiwat B. Outcomes of percutaneous nephrolithotomy: comparison of elderly and younger patients. Int Braz J Urol 2013;39:692-701.
10. Sahin A, Atsu N, Erdem E, et al. Percutaneous nephrolithotomy in patients aged 60 years or older. J Endourol 2001;15:489-91.
11. Chen ZJ, Yan YJ, Zhou JJ. Comparison of tubeless percutaneous nephrolithotomy and standard percutaneous nephrolithotomy for kidney stones: A meta-analysis of randomized trials.Asian J Sur 2019; 1015-9584/30338-5.
12. Ichaoui H, Samet A, Ben Hadjalouane H, et al.Percutaneous Nephrolithotomy (PCNL): Standart Technique Versus Tubeless- 125 Procedures. Cureus 2019;11:4251.
13. Samad L, Zaidi Z. Tubed vs tubeless PCNL in children. J Pak Med Assoc 2012;62:892-6.
14. Nouralizadeh A, Simforoosh N, Shemshaki H, et al.Tubeless versus standart nephrolithotomy in pediatric patients: a systematic review and metaanalysis. Urologia 2018;85:3-9
15. Ozturk H. Tubeless versus standard PCNL in geriatric population. Actas Urol Esp 2015;39:494-501.