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A New Technique for Percutaneous Nephrolithotomy Using Retrograde Ureteroscopy and Laser Fiber to Achieve Percutaneous Nephrostomy Access: The Initial Case Report / Carlos Alberto Uribe Trujillo
Título : A New Technique for Percutaneous Nephrolithotomy Using Retrograde Ureteroscopy and Laser Fiber to Achieve Percutaneous Nephrostomy Access: The Initial Case Report Tipo de documento : documento electrónico Autores : Carlos Alberto Uribe Trujillo, Fecha de publicación : 2019 Títulos uniformes : 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 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 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001215 AC-2019-004 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2019-004.pdfAdobe Acrobat PDF Ureteroscopic holmium laser-assisted retrograde nephrostomy access: a novel approach to percutaneous stone removal / Carlos Alberto Uribe Trujillo
Título : Ureteroscopic holmium laser-assisted retrograde nephrostomy access: a novel approach to percutaneous stone removal Tipo de documento : documento electrónico Autores : Carlos Alberto Uribe Trujillo, Fecha de publicación : 2018 Títulos uniformes : World Journal of Urology Idioma : Inglés (eng) Palabras clave : Holmium lase nephrolithiasis nephrostomy access percutaneous nephrolithotomy Retrograde nephrostomy Technique Resumen : Introduction and objectives: Percutaneous nephrolithotomy remains a challenging procedure primarily due to difficulties obtaining access. Indeed, few urologists obtain their own access due to difficulties using a fluoroscopic or ultrasonic based antegrade puncture technique. Herein we report the first experience using holmium laser energy to obtain access in a retrograde fashion. Methods: After a pretreatment week of tamsulosin 0.4 mg/day (one center only) and following a documented sterile urine, a total of ten patients underwent retrograde holmium laser-assisted endoscopic-guided nephrostomy access in a prone split leg position. Results: In nine of ten patients, ureteroscopic guided, holmium laser access via an upper pole posterior calyx was achieved. In one patient, the laser tract could not be safely dilated and antegrade endoscopic and fluoroscopic guided access was performed. The mean operative time was 202 min; the mean fluoroscopy time was 32 s (6/9 cases). The mean pre-operative stone volume was 14,420 mm3. CT imaging on post-operative day 1 revealed 6/6 patients had residual stone fragments with total mean volume of 250 mm3 (96% reduction); there were no residual fragments in three patients who were evaluated with non-CT radiographic imaging (KUB). There was a single complication requiring angioembolization due to a subcapsular hematoma with associated secondary tearing of an inter-polar vessel remote from the nephrostomy site. Conclusions Holmium laser-assisted endoscopic-guided retrograde access in a prone split-leg position was successfully performed at two institutions. The accuracy of nephrostomy placement and lessening of fluoroscopy time are two potential benefits of this approach. Mención de responsabilidad : Kamaljot S Kaler, Egor Parkhomenko, Zhamshid Okunohov, Roshan M Patel, Jaime Landman, Ralph V Clayman, Carlos A Uribe Referencia : World J Urol. 2018 Jun;36(6):963-969. DOI (Digital Object Identifier) : 10.1007/s00345-018-2223-9 PMID : 29423876 En línea : https://link.springer.com/article/10.1007%2Fs00345-018-2223-9 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4193 Ureteroscopic holmium laser-assisted retrograde nephrostomy access: a novel approach to percutaneous stone removal [documento electrónico] / Carlos Alberto Uribe Trujillo, . - 2018.
Obra : World Journal of Urology
Idioma : Inglés (eng)
Palabras clave : Holmium lase nephrolithiasis nephrostomy access percutaneous nephrolithotomy Retrograde nephrostomy Technique Resumen : Introduction and objectives: Percutaneous nephrolithotomy remains a challenging procedure primarily due to difficulties obtaining access. Indeed, few urologists obtain their own access due to difficulties using a fluoroscopic or ultrasonic based antegrade puncture technique. Herein we report the first experience using holmium laser energy to obtain access in a retrograde fashion. Methods: After a pretreatment week of tamsulosin 0.4 mg/day (one center only) and following a documented sterile urine, a total of ten patients underwent retrograde holmium laser-assisted endoscopic-guided nephrostomy access in a prone split leg position. Results: In nine of ten patients, ureteroscopic guided, holmium laser access via an upper pole posterior calyx was achieved. In one patient, the laser tract could not be safely dilated and antegrade endoscopic and fluoroscopic guided access was performed. The mean operative time was 202 min; the mean fluoroscopy time was 32 s (6/9 cases). The mean pre-operative stone volume was 14,420 mm3. CT imaging on post-operative day 1 revealed 6/6 patients had residual stone fragments with total mean volume of 250 mm3 (96% reduction); there were no residual fragments in three patients who were evaluated with non-CT radiographic imaging (KUB). There was a single complication requiring angioembolization due to a subcapsular hematoma with associated secondary tearing of an inter-polar vessel remote from the nephrostomy site. Conclusions Holmium laser-assisted endoscopic-guided retrograde access in a prone split-leg position was successfully performed at two institutions. The accuracy of nephrostomy placement and lessening of fluoroscopy time are two potential benefits of this approach. Mención de responsabilidad : Kamaljot S Kaler, Egor Parkhomenko, Zhamshid Okunohov, Roshan M Patel, Jaime Landman, Ralph V Clayman, Carlos A Uribe Referencia : World J Urol. 2018 Jun;36(6):963-969. DOI (Digital Object Identifier) : 10.1007/s00345-018-2223-9 PMID : 29423876 En línea : https://link.springer.com/article/10.1007%2Fs00345-018-2223-9 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4193 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000807 AC-2018-094 Archivo digital Producción Científica Artículos científicos Disponible