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 Endouroljournal_title
Journal of endourologyauthors
Finelli A,Honey RJdoi
10.1089/089277901750426337subject
Has Abstractpub_date
2001-08-01 00:00:00pages
581-4; discussion 584-5issue
6eissn
0892-7790issn
1557-900Xjournal_volume
15pub_type
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0585
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.37
更新日期:2005-01-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2014-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0306
更新日期:2007-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2016-03-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2006-07-01 00:00:00
abstract:: Introduction and Objective: Despite the adoption of robotic donor nephrectomy, the steep learning curve of robotic recipient transplantation has hindered the implementation of a complete robot-assisted kidney transplantation (RAKT). We sought to develop a high-fidelity per...
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pub_type: 杂志文章,随机对照试验
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更新日期:2007-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2008-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/08927790152596271
更新日期:2001-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2006-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2003-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1089/end.2000.14.519
更新日期:2000-08-01 00:00:00
abstract::Radical nephroureterectomy, including en bloc excision of the ureter with a bladder cuff, is the standard treatment for upper tract transitional-cell carcinoma (TCC). This procedure requires either a flank and lower abdominal incision or an extended flank incision. Laparoscopic surgery for TCC has been used at several...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
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更新日期:2001-05-01 00:00:00