Korean J Urol.  2003 Jul;44(7):714-717.

The Supracostal Transhepatic Approach for Percutaneous Nephrolithotomy

Affiliations
  • 1Department of Urology, College of Medicine, Kyungpook National University, Daegu, Korea. uropark@knu.ac.kr

Abstract

The optimal approach for a staghorn, large upper calyceal or complex renal stone burden is through the upper pole posterior calyx, which at times is best accomplished by a supracostal puncture. A supracostal posterior calyx puncture is usually of concern due to the potential complications of pneumothorax, hydrothorax and lung injury. A case of right upper calyceal calculi is reported in a 25-year-old male, who was managed by a supracostal transhepatic percutaneous nephrolithotomy.

Keyword

Kidney calculi; Nephrostomy; percutaneous

MeSH Terms

Adult
Calculi
Humans
Hydrothorax
Kidney Calculi
Lung Injury
Male
Nephrostomy, Percutaneous*
Pneumothorax
Punctures
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