J Korean Radiol Soc.
1988 Jun;24(3):453-456. 10.3348/jkrs.1988.24.3.453.
Percutaneous nephrostolithotomy
- KMID: 2359273
- DOI: http://doi.org/10.3348/jkrs.1988.24.3.453
Abstract
- It has been well established that percutaneous nephrostolithotomy is safe and effective method for themanagement of most urinary calculi at renal pelvis, calyces and proximal ureter. Authors have experienced 29 casesof percutaneous nephrostolithotomy from Oct. 1986 to Sep. 1987, and analyzed the outcome and the complications ofthe procedures. Among the total 29 cases, there were 2 completer failure of retrieval of calculi because ofinability to reposition the proximal ureteral stones. There were also 6 cases of retanined calculus fregmentsafter ultrasonic lithotripsy. The complications associated with the procedure were rare. One case ofpseudoaneurysm of renal arterial branch with gross hematuria was treated by renal arteriography and gelfoamembolization. One perirenal hematoma and one prolongned leakage of urine through the track were improved byconservative management. We think that percutaneous nephrostolithotomy has its value as a safe and effectivemethod for the management of calculi at upper urinary tract and as a complementary modality to extracorporealshock wave lithotripsy.
