Percutaneous nephrolithotomy: Extraction of renal and ureteral calculi from 100 patients

R. V. Clayman, V. Surya, R. P. Miller, W. R. Castaneda-Zuniga, A. D. Smith, D. H. Hunter, K. Amplatz, P. H. Lange

Research output: Contribution to journalArticlepeer-review

99 Scopus citations

Abstract

A percutaneous nephrostomy tract was used as a conduit to the kidney and ureter for extraction of 149 calculi in 100 patients. A variety of grasping and fragmentation techniques under fluoroscopic and endoscopic control were used to extract calculi in 88% of the patients. With experience, operator efficiency and rate of stone extraction increased from 76% early in the series to 91% in the most recent patients, and the incidence of complications decreased from 17 to 5%. Percutaneous removal of upper tract urinary calculi appears to be an appropriate alternative to an open operation in most patients with symptomatic urolithiasis.

Original languageEnglish (US)
Pages (from-to)868-871
Number of pages4
JournalJournal of Urology
Volume131
Issue number5
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Urology

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