DOI: 10.36347/sasjs.2020.v06i03.003

Pages: 100-106

Introduction: The standard PCNL includes insertion of a nephrostomy tube and a Double J stent after the procedure. Tubeless PCNL i.e no neprostomy tube following a PCNL in view of reduced morbidity and hospital stay is being implanted. This leads to our study on tubeless PCNL with the objectives of evaluation of outcomes and complications with the same and to evaluate the efficacy and safety of tubeless percutaneous nephrolithotomy (PCNL). Material and methods: This study conducted in department of General Surgery, Subharti Medical College, Meerut where 100 patients were evaluated 56 of whom underwent standard PCNL and 46 underwent tubeless PCNL. In the group of tubeless PCNL, no nephrostomy was inserted after removal of the stone fragments. We compared the results of tubeless PCNL with those of the standard procedure. The operative time, blood loss, perioperative complications, postoperative analgesic requirements and duration of hospitalization in the two groups were analyzed. Conclusion: In our study we concluded that Tubeless PCNL is safe and effective methods of renal stone management and is comparable to the standard PCNL in terms of postoperative outcomes and safety and seem to have benefits in terms of length of hospitalization, postoperative pain and all these features might make tubeless PCNL the new standard.