Comparative Analysis of Mean Hospital Stay in Patients Undergoing Percutaneous Nephrolithotomy (PCNL) With Versus Without Nephrostomy Tube
Comparison of Hospital Stay in PCNL With and Without Nephrostomy Tube
DOI:
https://doi.org/10.61919/jhrr.v4i3.1635Keywords:
Percutaneous nephrolithotomy, tubeless PCNL, nephrostomy tube, hospital stay, renal calculi, minimally invasive urology.Abstract
Background: Percutaneous nephrolithotomy (PCNL) is a minimally invasive surgical procedure for the removal of large renal calculi. The use of nephrostomy tubes postoperatively is common; however, they may increase hospital stay and patient discomfort. Tubeless PCNL has emerged as a potential alternative.
Objective: To compare the mean hospital stay in patients undergoing PCNL with and without a nephrostomy tube.
Methods: A prospective cohort study was conducted on 60 patients undergoing PCNL at the Armed Forces Institute of Urology, Rawalpindi, from June to December 2020. Patients were divided into two groups: Group A (PCNL with nephrostomy tube) and Group B (tubeless PCNL). Both groups were assessed for mean hospital stay, postoperative complications, and stone size using SPSS version 25. Inclusion criteria were age ≥18 years, stone size of 2-3 cm, and ASA I-II. Exclusion criteria included prior renal surgeries and comorbidities.
Results: The mean hospital stay was significantly shorter in Group B (1.90 ± 0.80 days) compared to Group A (2.46 ± 0.81 days, p=0.0001).
Conclusion: Tubeless PCNL significantly reduces hospital stay compared to standard PCNL.
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