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Paper Information

Journal:   JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES   WINTER 2011 , Volume 12 , Number 4 (36); Page(s) 75 To 79.
 
Paper: 

EVALUATION OF PERCUTANEOUS NEPHROLITHOTOMY (PCNL) OF UPPER CALICES WITH SUBCOSTAL ACCESS

 
 
Author(s):  DARABI M.R.*, RAHMANI M.M.
 
* DEPARTMENT OF UROLOGY, IMAM REZA HOSPITAL, MASHHAD UNIVERSITY OF MEDICAL SCIENCES, MASHHAD, IRAN
 
Abstract: 

Background and Objective: Intercostal and supracostal access tract are usual access for percoutaneous nephrolithotripsy (PCNL) for upper calices stones. But pleural complication of these tracts is high. This study was done to evalute percutaneous nephrolithotomy (PCNL) of upper calices with subcostal access.
Materials and Methods: Seventeen patients (12 males, 5 females) with stones limited to upper calices with diameters of 11-27 mm and 1-5 in numbers, candidate for PCNL. Ultrasonography and intravenous urography were performed for all patients prior to surgery. In all patients PCNL performed in prone position and access is made at prolonged and deep inspiration from subcostal with fluoroscopic guidance. Following access to upper calices, guide wire inserted and dilatation of tract up to 28 or 30 Fr informed. After insertion of 28 or 30 Fr Amplatz sheat nephroscopy performed.
Results: Two patients excluded and finally 15 patients were accounted. In 15 patients subcostal access performed successfully (88.2%). In 5 patients’ stones of less than 10 mm extracted with grasps. In 10 patients after pneumatic lithotripsy, particles of tones removed. 11 patients rendered stone free (73.3%). 4 patients had residual stones of greater than 5 mm in minor calices that in 3 patients after single ESWL resolved. 3 patients needed infandibular dilatation for complete stone extraction. No infection, transfusion, pneumothorax, hydrothorax, respiratory discomfort in operation and post operation period was seen. In one patient a perirenal collection of liquid with diameter of 5 cm was detected. Perirenal collection of liquid was removed with preventional treatment and antibiotics regiments.
Conclusion: PCNL with subcostal access for upper calices stones is a feasible and safe with low complication and can be performed instead of supracostal access tracts.

 
Keyword(s): SUBCOSTAL, UPPER CALICES, PERCOUTANEOUS NEPHROLITHOTRIPSY
 
 
References: 
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Cite:
APA: Copy

DARABI, M., & RAHMANI, M. (2011). EVALUATION OF PERCUTANEOUS NEPHROLITHOTOMY (PCNL) OF UPPER CALICES WITH SUBCOSTAL ACCESS. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES, 12(4 (36)), 75-79. https://www.sid.ir/en/journal/ViewPaper.aspx?id=253183



Vancouver: Copy

DARABI M.R., RAHMANI M.M.. EVALUATION OF PERCUTANEOUS NEPHROLITHOTOMY (PCNL) OF UPPER CALICES WITH SUBCOSTAL ACCESS. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES. 2011 [cited 2021April19];12(4 (36)):75-79. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=253183



IEEE: Copy

DARABI, M., RAHMANI, M., 2011. EVALUATION OF PERCUTANEOUS NEPHROLITHOTOMY (PCNL) OF UPPER CALICES WITH SUBCOSTAL ACCESS. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES, [online] 12(4 (36)), pp.75-79. Available at: <https://www.sid.ir/en/journal/ViewPaper.aspx?id=253183>.



 
 
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