Percutaneous Approach to Urinary Tract Calculi

Dunnick, N. Reed

doi:10.1007/978-1-4471-1386-7_4

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Percutaneous Nephrolithotripsy1

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1990

1992

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“…There is still an indication for percutaneous nephrolithotripsy in the case of staghorn calculi or very large stone masses as a primary measure before shock wave litho tripsy ( fig. 11) Percutaneous nephrolithotripsy is no longer performed for small concrements [11,12,16,31,32,46].…”

Section: Percutaneous Nephrolithotripsymentioning

confidence: 99%

Interventional Sonography in Urology

Knönagel¹

1990

Urol Int

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Nephrostomy is probably the most common percutaneous ultrasound-guided intervention. Since it is the basis for access to the collecting system of the kidney, the technique is described in detail. Other forms are diagnostic pyelopuncture and antegrade stenting. Percutaneous surgery requires dilatation of the tract upon puncture in order to introduce instruments for litholapaxy, splinting strictures (endopyeloplasty) or tumor resection. Retroperitoneal accumulations of fluid outside the collecting system can be drained under sonographic view. Ultrasound is further used to localize solid structures (kidney, renal tumor, lymph nodules, prostate) for biopsy.

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