Key Hole Surgery

Percutaneous Nephrolithotomy (PCNL) or Keyhole Surgery in Delhi and Gurgaon. Cost of PCNL/Keyhole Surgery in Delhi and Gurgaon

What is PCNL or Key Hole Surgery?

Percutaneous Nephrolithotomy or PCNL is the most preferred method for treating bigger kidney stones (about two centimeters in diameter). This technique involves keyhole surgery, which is performed through an incision of 1cm in the human skin overlying the human kidney.

What Are the Benefits of PCNL or Key Hole Surgery?

  • Allows complicated or bigger stones within the kidney to be treated with a small invasive manner, where in early days this would’ve necessitated a bigger skin incision.
  • Patients need to stay in hospital only for 3 to 4 days. Further, having discharged from the hospital, the recovery time is certainly shorter than typical open surgery.

What Are the Demerits or Disadvantages of PCNL or Key Hole Surgery?

  • Compared to typical treatments of big-sized complicated stones in kidney, there is no disadvantage associated with this method. Advanced medical equipments and improved techniques have made this type of surgery method to be safer than other available options.

Is There Any Risk?

This type of surgery is very low at risk if done by an urologist with adequate training, experience and meticulous planning. Moreover, the specific potential risks are unusual but to add, some includes infection, extra-ordinary bleeding (requiring renal exploration about 0.5%, embolisation 1%, blood transfusion 2%), and adjacent available organ injury (liver, spleen, lung, and bowel).

What should I bring to Surgery?

  • Patients need to bring all related imaging such as X-ray, kidney or abdomen ultrasound, CT scan, and KUB (human kidney, ureter and bladder)
  • Bring your normal medications

How it is done?

The operation or surgery is done under a usual anaesthetic, and lasts about two to three hours. This is a team work needing coordination between nursing staff, radiology, anaesthetist, and of course surgeon. A Patient needs to position on the operating table laying on his or her front-stomach for the entire duration of the operation. The operation process is completed with the help of X-ray imaging to instruct or guide entry of one centimeter tube into human kidney. This offers easy access into the human kidney drainage structure or system enabling telescopes and other devices to visualize, fragment and finally remove stones from the kidney. A nephrostomy tube or drainage catheter that exists through the human skin is left in patient’s kidney at the end of process.

What Can I Expect After Surgery?

You’ll have catheter known as nephrostomy tube temporary draining in the kidney and a temporary urinary catheter in-situ. Remember, these stuffs will be eliminated prior to discharge from the medical hospital. However, the urine can be bloodstained for about a week even after patient discharge. In order to evaluates stone clearance, imaging will be done immediately just after the surgery. Sometime, additional minor surgery could be needed to clear any type of remaining kidney stones to accomplish perfect stone clearance. On average, patients need to stay in the hospital only for three to four days.


Patients will be needed to take follo-up during the recovery period for a few weeks. There could be minimal problem from the surgery wound. Patients will also be given antibiotics orally for additional one week to prevent potential infection. It is recommended consulting with doctor if patients feel discomfort with chills, fevers, or developing excessive bleeding in their urines. After discharge, the initial follow-up could be of six weeks for the patients. Occasionally, in order to ensure the urine drains right into the human bladder, a urinary stent can be left. However, this will be removed after a certain span of time. 

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