LONG-TERM OUTCOME OF CALICEAL DIVERTICULA FOLLOWING PERCUTANEOUS ENDOSURGICAL MANAGEMENT

Autor: Bruce L. McClennan, Jon J. Soble, Stephen Y. Nakada, J. Stuart Wolf, Ralph V. Clayman, Arieh L. Shalhav
Rok vydání: 1998
Předmět:
Zdroj: The Journal of Urology. :1635-1639
ISSN: 0022-5347
DOI: 10.1097/00005392-199811000-00006
Popis: Purpose: We review the morbidity and long-term outcome of percutaneous caliceal diverticulectomy and associated stone extraction.Materials and Methods: Percutaneous caliceal diverticulectomy was performed in 19 women and 11 men (age range 20 to 58 years), of whom 26 had stones (all 15 mm. or less). The diverticula were located throughout the kidney, including the upper (11 patients), middle (15) and lower (4) calices. Percutaneous caliceal diverticulectomy included 28 direct and 2 indirect accesses (1 via a previously placed nephrostomy tract and 1 due to stones in other areas of the kidney). In all cases the stone was removed and the diverticular neck was incised or dilated. Fulguration of the diverticular walls was performed in 22 cases. Transdiverticular percutaneous renal and ureteral drainage was maintained from 2 to 7 days until a nephrostogram demonstrated no extravasation.Results: The average operating room time and hospital stay were 171 minutes (range 75 to 330) and 4.1 days (range 2 to ...
Databáze: OpenAIRE