Initial experience using balloon dilator during percutaneous nephrolithotomy

Feasibility and Efficacy of Intermediate-Supine Percutaneous Nephrolithotomy: Initial Experience

We evaluated the feasibility and efficacy of intermediate-supine percutaneous nephrolithotomy (PCNL) in patients with renal calculi. Fifteen patients were included in this study. The intermediate-supine operative position was modified by using a 1-L saline bag below the ipsilateral upper flank. A nephrostomy and stone extraction were performed as usual. After completion of the stone removal, a ...

Balloon dilator versus telescopic metal dilators for tract dilatation during percutaneous nephrolithotomy for staghorn stones and calyceal stones

OBJECTIVE To compare the results of balloon dilatation (BD) vs. telescopic metal dilators (TMDs) in establishing the tract for percutaneous nephrolithotomy (PCNL) in patients with calyceal stones or staghorn stones, but with no hydronephrosis. PATIENTS AND METHODS Data from selected patients over 4 years were recorded retrospectively. Patients with complex staghorn stones, an undilated target...

Splenic Injury During Percutaneous Nephrolithotomy

BACKGROUND Injury to the spleen is a recognized complication during percutaneous renal access due to the close anatomical relationship of the spleen and the left kidney. However, transsplenic renal access is a rare complication of percutaneous nephrolithotomy and can also result in considerable morbidity, often requiring emergent splenectomy. METHODS We present our experience with splenic inj...

Pediatric percutaneous nephrolithotomy using adult sized instruments: our experience.

PURPOSE To evaluate the safety and efficacy of pediatric percutaneous nephrolithotomy (PCNL) using adult sized instruments in the management of pediatric urolithiasis. MATERIALS AND METHODS We retrospectively reviewed the medical records of 38 children younger than 15 years who had undergone 45 PCNLs with adult sized instruments in our center between August 2007 and February 2010. RESULTS T...

PCNL (percutaneous nephrolithotomy): first year experience.