Selected patients with nephrolitiasis to whom tubeless or tubing pnl operations regading cbc, biochemical parameters and postoperatif pain scores.

Aim of the study: In this study, we aimed to compare biochemical parameters,haemogram falling levels, postoperative analgesic requirements, length of hospital stay,and the complications of tubeless and tubing percutaneous nephrolithotomy (PNL) asminimally invasive surgical procedure for the treatment of kidney stone disease.Patients and Methods: The fifty patients who underwent one sided PNLoperations were included the study. Among of them tube was not applicated to the 25patients. The preoperative examination, surgical position, tecnique and anaestheticprotocol of the patients were standardized. We analysed, biochemical parameters,haemogram falling levels, postoperative analgesic requirements, visual analog scales(VAS), length of hospital stay, and the complications of tubeless and tubingpercutaneous nephrolithotomy (PNL) patients who were operated.Results: There was no statistically significant results between groups for theoperation side and introducing pole. The operation time, pneumotic lithotriptor beatcounts, the length of stay at hospital for the postoperative period and the volumeirrigation solution were statistically higher than the tubeless group. Postoperative lengthof indwelling urether catheter time was lower than tubing group, but these differencewas not statistically significant. Both groups were similar in stoneless success rate. Thesize of stones were bigger in the tubeless group.The preoperative and postoperative levels of BUN, creatine and electrolytes andcomplete blood count parameters were similar in both groups. The postoperativeanalgesic requirements were lower than the tubing group according to NSAID andmeperidine were given, but these difference was not statistically significant. The visualanalog scale (VAS) levels were decreased statistically at 1-24th hours in both groups.But these VAS levels statistically similar between two groups in any hour. The overallcomplication rate at the perioperative session were higher than tubeless group, but thesedifference was not statistically significant. The length of hospital stay 1,8 day and 4,08days for the tubeless and tubing group, respectively.Results: We think that tubeless PNL may be suitable for the patients withnonsignificant hydronephrosis, with intact counter side kidney, with mild-moderatestone load and applicable for simple kidney stone disease treatment after full stonelessand problemless procedure.Keywords: Stone disease, tubeless PNL, nephrostomy tube, analgesics,biochemical and haemotological parameters.