Outpatient tubeless percutaneous nephrolithotomy:the initial case series
Introduction: Percutaneous nephrolithotomy (PCNL) has traditionally
been performed on an inpatient basis. To the best of our
knowledge, this is the first report of tubeless PCNL on a completely
outpatient basis. The purposes of this study were to assess the safety
and efficacy of outpatient PCNL.
Methods: We reviewed the initial consecutive outpatient tubeless
PCNLs performed at our institution by a single surgeon. Patients
were discharged home the day of surgery only after meeting strict
discharge criteria. Preoperative, intraoperative and postoperative
data were collected prospectively.
Results: Outpatient tubeless PCNL was performed in 3 patients. The
mean maximum stone diameter was 14 mm. The average hospital
stay was 175 minutes. All 3 patients were discharged home in
stable condition after meeting all of the inclusion criteria. There
were no emergency room visits or hospital readmissions postoperatively.
The mean follow-up period was 47 days. All stones were
calcium oxalate and the stone free rate was 100%. There were no
minor or major complications.
Conclusion: In properly selected patients, outpatient tubeless PCNL
is safe and effective. Our initial experience with outpatient PCNL
has been favourable and warrants further investigation in a larger
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