ArticleEuropean urology open science2025
Design and Evaluation of a Checklist for Day-care Percutaneous Nephrolithotomy.
Article in European urology open science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and objective: Our aim was to assess the feasibility of percutaneous nephrolithotomy (PCNL) as a day-care procedure and define the patient, stone, and perioperative characteristics of cases most suitable for this option. Methods: In this prospective observational study, patients with renal stones undergoing PCNL were enrolled on the basis of predefined inclusion and exclusion criteria. Day-care PCNL was defined as discharge within 24 h after surgery. A day-care PCNL checklist with preoperative, intraoperative, and postoperative factors was formulated on the basis of the study outcomes. Key findings and limitations: A total of 347 consecutive patients underwent PCNL, of whom 300 underwent day-care PCNL. The mean age of the study population was 47 yr (standard deviation [SD] 13). Mean body mass index was 27 kg/m Conclusions: PCNL is safe and feasible as a day-care procedure when applied to a carefully selected patient cohort, and can reduce hospital length of stay while maintaining acceptable rates of readmission and Clavien-Dindo grade ≤2 complications. Our proposed day-care PCNL checklist can help in identifying the most suitable patients for this strategy and ensuring optimal outcomes. Patient summary: We looked at outcomes for minimally invasive surgery to remove kidney stones performed as a day-care procedure in selected patients. We formulated a checklist that can help in selecting the patients most suitable for day-care surgery. This procedure is safe and feasible on a day-care basis for suitable patients.
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