Retrograde nephrostomy : advantages, disadvantages, and the learning curve
Establishment of a nephrostomy tract is a prerequisite for many endourologic procedures of the upper urinary tract. We reviewed our initial experience with 31 retrograde nephrostomies to determine the advantages and disadvantages and the learning curve for the procedure. All but one of the attempts...
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| Veröffentlicht in: | Journal of endourology 1995-12, Vol.9 (6), p.461-463 |
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| container_end_page | 463 |
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| container_title | Journal of endourology |
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| creator | HOO YIN WONG HINSON, J. L GRIFFITH, D. P |
| description | Establishment of a nephrostomy tract is a prerequisite for many endourologic procedures of the upper urinary tract. We reviewed our initial experience with 31 retrograde nephrostomies to determine the advantages and disadvantages and the learning curve for the procedure. All but one of the attempts were successful, and no complications were attributable to the nephrostomy puncture. The procedure time averaged 21.1 minutes in nondilated collecting systems but 32.0 minutes in hydronephrotic kidneys (P < 0.01). The mean procedure time in our first 10 successful cases was 36.2 minutes, but it decreased to 22.6 minutes in the second 10 successful cases (P < 0.02). Radiation exposure was also minimized early, with a mean fluoroscopy time of 3.5 minutes in our first 10 successful cases and 1.5 minutes in our second 10 successful cases (P < 0.02). Similarly, both procedure and fluoroscopy times decreased further in the most recent 10 successful cases. Retrograde nephrostomy is a safe procedure, is easier in a nondilated collecting system, and can be mastered with a short learning curve with minimal radiation exposure. |
| doi_str_mv | 10.1089/end.1995.9.461 |
| format | Article |
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Similarly, both procedure and fluoroscopy times decreased further in the most recent 10 successful cases. Retrograde nephrostomy is a safe procedure, is easier in a nondilated collecting system, and can be mastered with a short learning curve with minimal radiation exposure.</description><identifier>ISSN: 0892-7790</identifier><identifier>EISSN: 1557-900X</identifier><identifier>DOI: 10.1089/end.1995.9.461</identifier><identifier>PMID: 8775075</identifier><language>eng</language><publisher>New York, NY: Liebert</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Education, Medical, Continuing ; Female ; Fluoroscopy ; Humans ; Learning ; Male ; Medical sciences ; Middle Aged ; Nephrostomy, Percutaneous - adverse effects ; Nephrostomy, Percutaneous - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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L</creatorcontrib><creatorcontrib>GRIFFITH, D. P</creatorcontrib><title>Retrograde nephrostomy : advantages, disadvantages, and the learning curve</title><title>Journal of endourology</title><addtitle>J Endourol</addtitle><description>Establishment of a nephrostomy tract is a prerequisite for many endourologic procedures of the upper urinary tract. We reviewed our initial experience with 31 retrograde nephrostomies to determine the advantages and disadvantages and the learning curve for the procedure. All but one of the attempts were successful, and no complications were attributable to the nephrostomy puncture. The procedure time averaged 21.1 minutes in nondilated collecting systems but 32.0 minutes in hydronephrotic kidneys (P < 0.01). The mean procedure time in our first 10 successful cases was 36.2 minutes, but it decreased to 22.6 minutes in the second 10 successful cases (P < 0.02). Radiation exposure was also minimized early, with a mean fluoroscopy time of 3.5 minutes in our first 10 successful cases and 1.5 minutes in our second 10 successful cases (P < 0.02). Similarly, both procedure and fluoroscopy times decreased further in the most recent 10 successful cases. Retrograde nephrostomy is a safe procedure, is easier in a nondilated collecting system, and can be mastered with a short learning curve with minimal radiation exposure.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Education, Medical, Continuing</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Learning</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - adverse effects</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Time Factors</subject><subject>Urology - education</subject><issn>0892-7790</issn><issn>1557-900X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1Lw0AQhhdRaq1evQk5iCcTZ7NNdtebFD8pCKLgbZnuTtpImtTdpNB_b0pL8TQM7zMvzMPYJYeEg9J3VLuEa50lOhnn_IgNeZbJWAN8H7NhD6SxlBpO2VkIPwBc5FwM2EBJmYHMhuztg1rfzD06impaLXwT2ma5ie4jdGusW5xTuI1cGf6vWLuoXVBUEfq6rOeR7fyaztlJgVWgi_0csa-nx8_JSzx9f36dPExjK7huY5k5SPMCLI2Jxi5D7gAyO-N2BoVOkZyySgnQAoRzOFYzAOTWYZpDqkmIEbvZ9a5889tRaM2yDJaqCmtqumCkVFpJ2ILJDrT9V8FTYVa-XKLfGA5mK8_08sxWntGml9cfXO2bu9mS3AHf2-rz632OwWJVeKxtGQ5YqnNQnIs_S3R4Fg</recordid><startdate>19951201</startdate><enddate>19951201</enddate><creator>HOO YIN WONG</creator><creator>HINSON, J. L</creator><creator>GRIFFITH, D. 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Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Time Factors</topic><topic>Urology - education</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOO YIN WONG</creatorcontrib><creatorcontrib>HINSON, J. L</creatorcontrib><creatorcontrib>GRIFFITH, D. P</creatorcontrib><collection>Pascal-Francis</collection><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>Journal of endourology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOO YIN WONG</au><au>HINSON, J. L</au><au>GRIFFITH, D. 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The mean procedure time in our first 10 successful cases was 36.2 minutes, but it decreased to 22.6 minutes in the second 10 successful cases (P < 0.02). Radiation exposure was also minimized early, with a mean fluoroscopy time of 3.5 minutes in our first 10 successful cases and 1.5 minutes in our second 10 successful cases (P < 0.02). Similarly, both procedure and fluoroscopy times decreased further in the most recent 10 successful cases. Retrograde nephrostomy is a safe procedure, is easier in a nondilated collecting system, and can be mastered with a short learning curve with minimal radiation exposure.</abstract><cop>New York, NY</cop><pub>Liebert</pub><pmid>8775075</pmid><doi>10.1089/end.1995.9.461</doi><tpages>3</tpages></addata></record> |
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| source | Mary Ann Liebert Online Subscription; MEDLINE |
| subjects | Adolescent Adult Aged Biological and medical sciences Child Education, Medical, Continuing Female Fluoroscopy Humans Learning Male Medical sciences Middle Aged Nephrostomy, Percutaneous - adverse effects Nephrostomy, Percutaneous - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Time Factors Urology - education |
| title | Retrograde nephrostomy : advantages, disadvantages, and the learning curve |
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