TY - JOUR
T1 - Percutaneous removal of caliceal and other 'inaccessible' stones
T2 - Results
AU - Reddy, P. K.
AU - Lange, P. H.
AU - Hulbert, J. C.
AU - Clayman, R. V.
AU - Breen, J. F.
AU - Hunter, D. H.
AU - Coleman, C. C.
AU - Castaneda-Zuniga, W. R.
AU - Amplatz, K.
PY - 1984
Y1 - 1984
N2 - Percutaneous removal of renal stones (percutaneous nephrolithotomy) is becoming an established procedure, especially for stones lying free in the renal pelvis. However, some renal stones, particularly caliceal stones, are less accessible and, therefore, more difficult by the percutaneous route. We removed percutaneously 95 caliceal or otherwise poorly accessible renal stones from 53 patients with a variety of techniques, including percutaneous puncture above the 12th rib, double or Y percutaneous nephrostomy tracts, rigid and flexible endoscopy, and intrarenal cutting with diathermy. Intravenously assisted local anesthesia was used exclusively in 89 per cent of the patients. Status free of stones was achieved in all but 1 patient who retained 2 small fragments. The average number of sessions was 1.89 and the average hospital stay was 7.9 days. Complications were minor except for 1 patient who required tertiary renal artery embolization for bleeding. Illustrative cases are presented. Virtually all renal stones can be removed percutaneously.
AB - Percutaneous removal of renal stones (percutaneous nephrolithotomy) is becoming an established procedure, especially for stones lying free in the renal pelvis. However, some renal stones, particularly caliceal stones, are less accessible and, therefore, more difficult by the percutaneous route. We removed percutaneously 95 caliceal or otherwise poorly accessible renal stones from 53 patients with a variety of techniques, including percutaneous puncture above the 12th rib, double or Y percutaneous nephrostomy tracts, rigid and flexible endoscopy, and intrarenal cutting with diathermy. Intravenously assisted local anesthesia was used exclusively in 89 per cent of the patients. Status free of stones was achieved in all but 1 patient who retained 2 small fragments. The average number of sessions was 1.89 and the average hospital stay was 7.9 days. Complications were minor except for 1 patient who required tertiary renal artery embolization for bleeding. Illustrative cases are presented. Virtually all renal stones can be removed percutaneously.
UR - http://www.scopus.com/inward/record.url?scp=0021135958&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0021135958&partnerID=8YFLogxK
U2 - 10.1016/S0022-5347(17)49685-6
DO - 10.1016/S0022-5347(17)49685-6
M3 - Article
C2 - 6471174
AN - SCOPUS:0021135958
VL - 132
SP - 443
EP - 447
JO - Investigative Urology
JF - Investigative Urology
SN - 0022-5347
IS - 3
ER -