| Autor: |
Ana Fatima Sandoval-Salazar, Jesus Torres-Aguilar, Javier Pineda-Murillo, Jose Rodrigo Arellano-Cuadros |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Revista Mexicana de Urología. 78 |
| ISSN: |
2007-4085 |
| DOI: |
10.48193/revistamexicanadeurologa.v78i3.79 |
| Popis: |
BACKGROUND: Percutaneous nephrolithotomy (PCNL) was established as a minimally invasive treatment option for kidney stones in the 1970s and is considered a safe and effective procedure, with stone clearance rates of 78-95%. The ideal puncture should maximize the effectiveness of the procedure in terms of stone-free status and minimize the risk of complications. CLINICAL CASE: We present the case of a 36-year-old male patient with bilateral lower back pain. A CT urography scan was performed that revealed bilateral lithiasis. The stone on the right side was consistent with an incomplete staghorn stone and a right retrorenal colon was identified. Left flexible nephrolithotripsy and subsequent right percutaneous nephrolithotomy were performed. A puncture was made under fluoroscopic guidance supported by previous digital dissection of all layers of the abdominal wall until gaining access to the retroperitoneum. Colonic lesion was prevented and a tunnel through which the renal unit could be palpated was formed. CONCLUSIONS: The technique of digital insertion and dissection offers safe access to the renal unit that is useful in patients presenting with risk factors for a potential complication. KEYWORDS: Digital; Kidney; Lithiasis; Percutaneous nephrolithotomy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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