A New Technique for Percutaneous Nephrolithotomy Using Retrograde Ureteroscopy and Laser Fiber to Achieve Percutaneous Nephrostomy Access: The Initial Case Report [documento electrónico] / Carlos Alberto Uribe Trujillo,  . - 2019.
Obra : Journal of Endourology Case Reports

Idioma : Inglés (eng)

Palabras clave :	Laser  nephrostomy access  percutaneous nephrolithotomy  ureteroscopy
Resumen :	Background: Percutaneous nephrolithotomy (PCNL) serves as the gold standard minimally invasive procedure to remove large renal stones. The puncture is made from the skin to the chosen calix under fluoroscopic guidance, although this remains a challenging technique. We describe the initial case of retrograde holmium laser acquired nephrostomy access. Case Presentation: In this study, we present the case of a 48-year-old woman with right renal colic with imaging revealing a 2.6 cm staghorn stone. With institutional approval, we performed a new technique utilizing retrograde access with a flexible ureteroscope and a holmium laser fiber to achieve nephrostomy access for PCNL in the prone position. With the ureteroscope confirmed in the desired calix, the ureteroscope and laser fiber were aimed and fired toward the flank and thus creating a subcostal nephrostomy tract. PCNL was then carried out per standard of care lithotripsy techniques utilizing the holmium laser. Conclusion: In this initial case, percutaneous retrograde laser access allowed for desired caliceal nephrostomy access under direct vision.
Mención de responsabilidad :	Carlos A Uribe, Hugo Osorio, Johana Benavides, Carlos H Martinez, Zachary A Valley, Kamaljot S Kaler
Referencia :	J Endourol Case Rep. 2019 Aug 30;5(3):131-136
DOI (Digital Object Identifier) :	10.1089/cren.2018.0079
PMID :	31501774
Derechos de uso :	CC BY
En línea :	https://www.liebertpub.com/doi/10.1089/cren.2018.0079
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4235