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Comparative analysis of efficacy and safety of tubeless and standard percutaneous nephrolithotomy in elderly patients DOI: 10.29188/2222-8543-2024-17-2-96-101
- Berezhnoy A.G. – Dr. Sci., Associate Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Clinical Hospital «RZD-Medicine»; Krasnoyarsk, Russia; RSCI Author ID 768996, https://orcid.org/0000-0002-7487-8671
- Ershov A.V. – PhD, Assistant, Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Clinical Hospital «RZD-Medicine»; Krasnoyarsk, Russia; RSCI Author ID 874226, https://orcid.org/0000-0001-5646-9279
- Dunaevskaya S.S. – Dr. Sci., Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Clinical Hospital «RZD-Medicine»; Krasnoyarsk, Russia; RSCI Author ID 614724, https://orcid.org/0000-0003-2820-4737
- Zakovryazhin I.A. – a resident physician at the Department of Urology, Andrology, and Sexology at the Institute for Postgraduate Education (IPO). Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk, Russia; https://orcid.org/0009-0004-3723-3761
55 Introduction. In the context of the global demographic trend of an aging population, effective methods for treating nephrolithiasis become particularly relevant. Percutaneous nephrolithotomy (PNL) remains one of the leading surgical interventions. With the emergence of new technologies in nephrolithiasis surgery, opportunities arise for the effective combination of various endourological methods, enhancing the efficiency and safety of operations.
Study оbjective. The study aims to conduct a comparative analysis of the efficacy and safety of standard PNL with nephrostomy tube placement and tubeless PNL in patients over 60 years of age.
Materials and methods. Data analysis included 50 patients who underwent PNL from January 2020 to November 2023. Patients were divided into two groups: standard PNL (Group 1) and tubeless PNL (Group 2). Evaluation was based on parameters such as Stone Free Rate (SFR), operation time, postoperative complications, blood transfusion requirements, and hospital stay duration.
Results. Tubeless PNL was associated with a shorter hospitalization period and postoperative stay compared to PNL with a nephrostomy tube.
The tubeless PNL group showed no infectious-inflammatory complications, while the drainage group had a 13.6% incidence. Laboratory parameters also indicated more favorable outcomes for tubeless PNL.Conclusions. Tubeless PNL is an effective and less invasive method for treating nephrolithiasis in elderly patients. Choosing this technique may reduce the risk of complications, ensuring more favorable outcomes.
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