Thoracoscopy-assisted high intercostal percutaneous renal access.

Abstract:

PURPOSE:We describe a technique for safely accessing an upper pole calix through a 9th or 10th intercostal puncture. PATIENTS AND METHODS:A 9th or 10th intercostal access was used for percutaneous nephrolithotomy (PCNL) in nine patients. Thoracoscopy via the 5th or 6th intercostal space was used to ensure safe passage of the nephrostomy needle. RESULTS:Access was obtained in all patients without visceral injury. Seven patients were stone free after PCNL; the initial two required sandwich therapy to become so. Chest tubes were inserted routinely in the first eight cases. They were removed on postoperative day three and did not affect the length of hospital stay. CONCLUSIONS:Access through the 9th or 10th intercostal space is occasionally necessary and is ideal in certain circumstances. Thoracoscopy-assisted percutaneous renal access allows access under direct vision, thus preventing pulmonary injury.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Finelli A,Honey RJ

doi

10.1089/089277901750426337

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

581-4; discussion 584-5

issue

6

eissn

0892-7790

issn

1557-900X

journal_volume

15

pub_type

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