Comparison of complications associated with standard and totally tubeless percutaneous nephrolithotomy according to modified Clavien grading: A multicenter retrospective study

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dc.authorid0000-0002-9155-4126
dc.contributor.authorKarakoyunlu, Ahmet Nihat
dc.contributor.authorEkici, Musa
dc.contributor.authorYeşil, Süleyman
dc.contributor.authorZengin, Kürşad
dc.contributor.authorGöktuğ, Göksel
dc.contributor.authorÖzok, Hakkı Uğur
dc.date.accessioned2019-05-13T09:08:44Z
dc.date.available2019-05-13T09:08:44Z
dc.date.issued2014
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractThe aim of this study was to compare the complications of standard and totally tubeless percutaneous nephrolithotomy (PCNL) based on the modified Clavien complication grading system. We retrospectively evaluated the complications of 290 consecutive patients who had undergone standard or totally tubeless PCNL at four institutes between January 2010 and August 2012 based on the modified Clavien scale. The totally tubeless cases were classified as Group 1 and the cases to which a Malecot re-entry catheter was applied were classified as Group 2. The postoperative complications were recorded according to the modified Clavien complication grading system. Statistically significant differences were observed only in the first-degree injury class between the two groups based on the modified Clavien classification. The requirement for blood transfusion and prolonged percutaneous access site leakage were more frequent in Group 2, but these differences were not statistically significant. We also performed a pain evaluation by monitoring postoperative analgesia demands. In Group 1, the analgesic demand rates in the 1st and 6th postoperative hours were 64.6% and 31.5%, respectively. In Group 2, the analgesic demand rates were 87.5% and 58.75% in the 1st and 6th postoperative hours, respectively. The mean ± standard deviation of analgesic doses in the first 6 hours was 0.96 ± 0.7 and 1.46 ± 0.6 in Groups 1 and 2, respectively. These differences were statistically significant. Based on our results, we can conclude that the tubeless technique has fewer complications, improved postoperative patient comfort, shorter hospitalization times, and a reduced need for analgesics, suggesting that tubeless PCNL should be the standard approach. For suitable cases, this technique may be used safely as the standard PCNL approach. Copyright © 2014, Kaohsiung Medical University. Published by Elsevier Taiwan LLC. All rights reserved.
dc.identifier.citationKarakoyunlu, N., Ekici, M., Yeşil, S., Zengin, K., Göktuğ. G., Özok, U. (2014). Comparison of complications associated with standard and totally tubeless percutaneous nephrolithotomy according to modified Clavien grading: A multicenter retrospective study. The Kaohsiung Journal of Medical Sciences, 30(12), 613-618.
dc.identifier.doi10.1016/j.kjms.2014.09.006
dc.identifier.endpage618en_US
dc.identifier.issn1607-551X
dc.identifier.issue12en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage613en_US
dc.identifier.urihttps://doi.org/10.1016/j.kjms.2014.09.006
dc.identifier.urihttps://hdl.handle.net/11491/2045
dc.identifier.volume30en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Taiwan LLC.
dc.relation.ispartofKaohsiung Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectClavienen_US
dc.subjectStandard Percutaneous Nephrolithotomyen_US
dc.subjectTotally Tubeless Percutaneous Nephrolithotomyen_US
dc.titleComparison of complications associated with standard and totally tubeless percutaneous nephrolithotomy according to modified Clavien grading: A multicenter retrospective study
dc.typeArticle

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