Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.
Curr Opin Urol. 2020 Sep;30(5):679-683. doi: 10.1097/MOU.0000000000000802.
To provide an updated overview of different exit strategies for percutaneous nephrolithotomy (PCNL) in times of miniaturization and minimal invasive surgery.
The majority of the reported studies concluded that a tubeless procedure is associated with less patient discomfort and a shorter hospital stay compared to the standard PCNL. Additionally, no significant difference in the complication rate was observed, including postoperative fever, hematocrit decrease, stone-free rate, and urine extravasation.
Underlined by recent literature tubeless PCNL is a well tolerated and effective treatment. Nevertheless the decision whether or not to place a nephrostomy tube after PCNL is still depending on the clinical judgment and experience of the surgeon.
在微创和微创手术时代，为经皮肾镜取石术（PCNL）的不同退出策略提供最新概述。
大多数报道的研究结论认为，与标准 PCNL 相比，无管化手术可减轻患者不适并缩短住院时间。此外，并发症发生率没有显著差异，包括术后发热、血细胞比容下降、结石清除率和尿外渗。
最近的文献强调无管化 PCNL 是一种耐受良好且有效的治疗方法。然而，PCNL 后是否放置肾造瘘管的决定仍然取决于外科医生的临床判断和经验。
