A modern view on tubeless percutaneous nephrolithotomy

Urolithiasis ranks second among urological diseases, after inflammatory processes, and first surgical interventions in hospitals. The problem of this disease treatment is a long-term rehabilitation disablement, which entails significant increase costs requires changes the tactics patients. Since its introduction until today, percutaneous nephrolithotomy (PCNL) standard for nephrolithiasis with stone size more than 1.5–2.0 cm. In version, PCNL ends placement nephrostomy catheter through formed parenchymal channel, but there are techniques surgery completion either without JJ stent – tubeless PCNL, or at all totally PCNL. However, nowadays, use one most controversial topics terms safety efficacy their application. Aim. To analyze results by means based on scientific evidence. Analysis literature shows that safe method application reduces pain analgesic requirements postoperative period, shortens length hospital stay, enhances recovery patients, therefore resulting cost-saving treatment. Conclusions. Tubeless PCNLs recommended widespread practice, it worth to mention these should be performed selected patients an operating surgeon experience surgery.