표준 경피적 신절석술과 무신루카테터(Tubeless) 경피적 신절석술의 비교 연구
A Comparative Study between Standard and Tubeless Percutaneous Nephrolithotomy
권순우, 김한권,
소속 상세정보
권순우 ( Kwon Soonoo )
울산대학교 의과대학 비뇨기과학교실
김한권 ( Kim Han-Gwun )
울산대학교 의과대학 비뇨기과학교실
KMID : 0358320070480010045
Abstract
Purpose: To compare the clinical parameters and complications between standard and tubeless percutaneous nephrolithotomies(PCNL). The purpose of this study was to assess the efficacy, safety and morbidity of a tubeless percutaneous nephrolithotomy.
Materials & Methods: A total of 102 patients, who underwent a PCNL at our institution by one surgeon, were enrolled in this study. Of the 102 patients, 30 underwent a standard PCNL between January 2001 and July 2002, and 72 underwent a tubeless PCNL between July 2002 and March 2005. All the PCNL were performed using a balloon tract dilator and 30Fr. working sheath. In the standard PCNL group, a 12Fr. nephrostomy tube was inserted. In the tubeless PCNL group, no nephrostomy tube was inserted, with the skin sutured onto the site of the nephrostomy. The stone volume, operating time, amount of blood loss, complications and hospital stay were compared between the two groups.
Results: There were no significant differences in stone volumes, decrease in postoperative 1 day hemoglobin, transfusion rates and complication rates between the two groups. However, the postoperative hemoglobin (p=0.05) and hospital stay(p=0.001) were significantly less in the tubeless compared to the standard PCNL group.
Conclusion: The tubeless PCNL was associated with no more bleeding or complications than the standard PCNL. Tubeless PCNL is a recommendable procedure in percutaneous renal stone surgery.(Korean J Urol 2007;48:45-48)
키워드
Percutaneous nephrolithotomy;Tubeless
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