“Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session
We herein describe the technique of a single subcostal skin incision with multiple angular punctures to approach the superior, middle and lower pole of the kidney for the management of staghorn calculi. One hundred patients with staghorn calculi were managed between January 1997 and June 2000. The s...
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| Veröffentlicht in: | European urology 2005-11, Vol.48 (5), p.832-837 |
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| creator | Liatsikos, Evangelos N. Kapoor, Rakesh Lee, Benjamin Jabbour, Michel Barbalias, George Smith, Arthur D. |
| description | We herein describe the technique of a single subcostal skin incision with multiple angular punctures to approach the superior, middle and lower pole of the kidney for the management of staghorn calculi.
One hundred patients with staghorn calculi were managed between January 1997 and June 2000. The superior calyx was approached by a subcostal triangulation technique and the middle and lower calyces were approached by angular punctures. Correct advancement of the needle was monitored by biplane fluoroscopy. Maximum effort was made for complete stone clearance in a single session.
87% patients were rendered stone free in a single session. The average number of tract dilation per renal unit was 2.4 with an average anesthesia time of 110
minutes and the average blood loss of 450
ml. The average hospital stay duration was 4.6 days. The secondary procedures required were 0.11 per patient and the complication rate totalled 7% with one case of excessive hemorrhage requiring embolization.
We therefore propose the triangulation technique as a safe and appealing method for the percutaneous management of staghorn calculi. |
| doi_str_mv | 10.1016/j.eururo.2005.08.009 |
| format | Article |
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One hundred patients with staghorn calculi were managed between January 1997 and June 2000. The superior calyx was approached by a subcostal triangulation technique and the middle and lower calyces were approached by angular punctures. Correct advancement of the needle was monitored by biplane fluoroscopy. Maximum effort was made for complete stone clearance in a single session.
87% patients were rendered stone free in a single session. The average number of tract dilation per renal unit was 2.4 with an average anesthesia time of 110
minutes and the average blood loss of 450
ml. The average hospital stay duration was 4.6 days. The secondary procedures required were 0.11 per patient and the complication rate totalled 7% with one case of excessive hemorrhage requiring embolization.
We therefore propose the triangulation technique as a safe and appealing method for the percutaneous management of staghorn calculi.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2005.08.009</identifier><identifier>PMID: 16203078</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Angular access ; Humans ; Kidney Calculi - surgery ; Kidney Calices - anatomy & histology ; Kidney Calices - surgery ; Lithotripsy ; Nephrostomy, Percutaneous - methods ; Percutaneous tract ; Retrospective Studies ; Staghorn calculi</subject><ispartof>European urology, 2005-11, Vol.48 (5), p.832-837</ispartof><rights>2005 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-36ab3d77193fac6818b3c8d7c7d1cd38000da97ea4c0d61e66b7849d0ba4ad563</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.eururo.2005.08.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16203078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liatsikos, Evangelos N.</creatorcontrib><creatorcontrib>Kapoor, Rakesh</creatorcontrib><creatorcontrib>Lee, Benjamin</creatorcontrib><creatorcontrib>Jabbour, Michel</creatorcontrib><creatorcontrib>Barbalias, George</creatorcontrib><creatorcontrib>Smith, Arthur D.</creatorcontrib><title>“Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>We herein describe the technique of a single subcostal skin incision with multiple angular punctures to approach the superior, middle and lower pole of the kidney for the management of staghorn calculi.
One hundred patients with staghorn calculi were managed between January 1997 and June 2000. The superior calyx was approached by a subcostal triangulation technique and the middle and lower calyces were approached by angular punctures. Correct advancement of the needle was monitored by biplane fluoroscopy. Maximum effort was made for complete stone clearance in a single session.
87% patients were rendered stone free in a single session. The average number of tract dilation per renal unit was 2.4 with an average anesthesia time of 110
minutes and the average blood loss of 450
ml. The average hospital stay duration was 4.6 days. The secondary procedures required were 0.11 per patient and the complication rate totalled 7% with one case of excessive hemorrhage requiring embolization.
We therefore propose the triangulation technique as a safe and appealing method for the percutaneous management of staghorn calculi.</description><subject>Angular access</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney Calices - anatomy & histology</subject><subject>Kidney Calices - surgery</subject><subject>Lithotripsy</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Percutaneous tract</subject><subject>Retrospective Studies</subject><subject>Staghorn calculi</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdGKEzEUhoMobl19A5FceTfjyaRNMjdCKasurCi2XodMctqmpJmaTATv9s6X0JfbJ3HKFPbOq8DJ__-H_3yEvGZQM2Di3aHGkkrq6wZgUYOqAdonZMaU5JVcCHhKZsChqRrF1RV5kfMBAPii5c_JFRPN-CfVjPx-uP-zjLsSTKJfMdkymIh9yfQbRhPo0lrM-eH-b00_lzD4U0C6ScYOmW72qS-7PV3StY-7cX4brc--j3TbJ7oezG7fp0hXJtgSzombhGY4Yhyoj4-u9Zg_ml6SZ1sTMr66vNfk-4ebzepTdffl4-1qeVdZLmCouDAdd1Kylm-NFYqpjlvlpJWOWcfVWNGZVqKZW3CCoRCdVPPWQWfmxi0EvyZvp9xT6n8UzIM--mwxhKm2FkoCNO1ZOJ-ENvU5J9zqU_JHk35pBvoMQB_0BECfAWhQegQw2t5c8kt3RPdoulx8FLyfBDi2_Okx6Ww9RovOJ7SDdr3__4Z_dz-c6w</recordid><startdate>20051101</startdate><enddate>20051101</enddate><creator>Liatsikos, Evangelos N.</creator><creator>Kapoor, Rakesh</creator><creator>Lee, Benjamin</creator><creator>Jabbour, Michel</creator><creator>Barbalias, George</creator><creator>Smith, Arthur D.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051101</creationdate><title>“Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session</title><author>Liatsikos, Evangelos N. ; Kapoor, Rakesh ; Lee, Benjamin ; Jabbour, Michel ; Barbalias, George ; Smith, Arthur D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-36ab3d77193fac6818b3c8d7c7d1cd38000da97ea4c0d61e66b7849d0ba4ad563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Angular access</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Kidney Calices - anatomy & histology</topic><topic>Kidney Calices - surgery</topic><topic>Lithotripsy</topic><topic>Nephrostomy, Percutaneous - methods</topic><topic>Percutaneous tract</topic><topic>Retrospective Studies</topic><topic>Staghorn calculi</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liatsikos, Evangelos N.</creatorcontrib><creatorcontrib>Kapoor, Rakesh</creatorcontrib><creatorcontrib>Lee, Benjamin</creatorcontrib><creatorcontrib>Jabbour, Michel</creatorcontrib><creatorcontrib>Barbalias, George</creatorcontrib><creatorcontrib>Smith, Arthur D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liatsikos, Evangelos N.</au><au>Kapoor, Rakesh</au><au>Lee, Benjamin</au><au>Jabbour, Michel</au><au>Barbalias, George</au><au>Smith, Arthur D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2005-11-01</date><risdate>2005</risdate><volume>48</volume><issue>5</issue><spage>832</spage><epage>837</epage><pages>832-837</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><abstract>We herein describe the technique of a single subcostal skin incision with multiple angular punctures to approach the superior, middle and lower pole of the kidney for the management of staghorn calculi.
One hundred patients with staghorn calculi were managed between January 1997 and June 2000. The superior calyx was approached by a subcostal triangulation technique and the middle and lower calyces were approached by angular punctures. Correct advancement of the needle was monitored by biplane fluoroscopy. Maximum effort was made for complete stone clearance in a single session.
87% patients were rendered stone free in a single session. The average number of tract dilation per renal unit was 2.4 with an average anesthesia time of 110
minutes and the average blood loss of 450
ml. The average hospital stay duration was 4.6 days. The secondary procedures required were 0.11 per patient and the complication rate totalled 7% with one case of excessive hemorrhage requiring embolization.
We therefore propose the triangulation technique as a safe and appealing method for the percutaneous management of staghorn calculi.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>16203078</pmid><doi>10.1016/j.eururo.2005.08.009</doi><tpages>6</tpages></addata></record> |
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| ispartof | European urology, 2005-11, Vol.48 (5), p.832-837 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Angular access Humans Kidney Calculi - surgery Kidney Calices - anatomy & histology Kidney Calices - surgery Lithotripsy Nephrostomy, Percutaneous - methods Percutaneous tract Retrospective Studies Staghorn calculi |
| title | “Angular Percutaneous Renal Access”. Multiple Tracts Through A Single Incision for Staghorn Calculous Treatment in A Single Session |
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