Are Emergently Placed Nephrostomy Tubes Suitable for Subsequent Percutaneous Endoscopic Renal Surgery?
| Autor: | Kaitlan Cobb, Timothy Batter, Brian H. Eisner, John Michael DiBianco, Patrick W. Mufarrij, Patrick T. Gomella |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Urology Urinary system medicine.medical_treatment 030232 urology & nephrology Nephrostomy tube Nephrolithotomy Percutaneous 03 medical and health sciences Kidney Calculi 0302 clinical medicine medicine Humans Percutaneous nephrolithotomy Emergency Treatment Aged Nephrostomy Percutaneous Retrospective Studies business.industry Renal surgery Acute kidney injury Retrospective cohort study Middle Aged medicine.disease Surgery 030220 oncology & carcinogenesis Nephrostomy Female business |
| Zdroj: | Urology. 126 |
| ISSN: | 1527-9995 |
| Popis: | Objective To determine the percentage of emergently placed nephrostomy tubes (NT) that were subsequently deemed usable for definitive percutaneous nephrolithotomy or percutaneous antegrade ureteroscopy in patients presenting with nephrolithiasis. Methods A multi-institutional retrospective database review was completed to identify patients who underwent emergent NT placement and then subsequent percutaneous nephrolithotomy or percutaneous antegrade ureteroscopy. Demographic, operative, and postoperative data were collected. Complications were classified using the Clavien-Dindo system. Results A total of 36 patients with 41 NTs met inclusion criteria. Indications for emergent NT placement were: obstruction with evidence of urinary tract infection/pyelonephritis (61%) and obstruction with acute kidney injury (39%). After recovery from the acute event and NT placement and during subsequent percutaneous surgical procedures, 9 NTs (22%) were sufficient without need for additional percutaneous access, 2 NTs (5%) were partially sufficient and were used in conjunction with an additional percutaneous access tract, and 30 NTs (73%) were unusable. Conclusion In this multi-institutional review, only 22% of NTs placed for emergent indications were sufficient for subsequent percutaneous surgery without the creation of additional percutaneous tracts. Urologists should be prepared to obtain additional access during definitive percutaneous renal surgery in patients who have had a tube placed under emergent conditions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect