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Tubeless percutaneous nephrolithotomy without losing the possibility of second-look nephroscopy: The perfect combination.
Domenech, A; Vivaldi, B; López, J F; Pizzi, P; Chacón, R; Figueroa, A; Durruty, J; Zambrano, N; Coz, F.
Afiliação
  • Domenech A; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Vivaldi B; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile. Electronic address: bvivaldi@gmail.com.
  • López JF; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Pizzi P; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Chacón R; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Figueroa A; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Durruty J; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Zambrano N; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
  • Coz F; Servicio de Urología, Hospital Militar de Santiago, Santiago, Chile; Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
Actas Urol Esp ; 38(5): 334-8, 2014 Jun.
Article em En, Es | MEDLINE | ID: mdl-24279984
OBJECTIVES: To evaluate an alternative approach to tubeless surgery that allows a second percutaneous procedure using the same nephrostomy tract. METHODS: Twenty patients underwent percutaneous nephrolithotomy from September 2012 to May 2013 at our institution. Inclusion criteria were: absence of urinary infection, single puncture and operative time less than 2 h. Following the procedure the initially placed ureteral catheter was exteriorized through the working sheath by tying a non-absorbable suture to its end. On postoperative day 1 all patients were studied with non-enhanced CT or X-ray film. If the patient was rendered stone free, the stent was removed along with the urethro-vesical catheter. If a residual stone was present, we recovered the ureteral catheter and used the same nephrostomy tract for a second endoscopic procedure. Patients were assessed for pain, postoperative complications, length of stay, stone free rate, hematocrit and creatinine variations. RESULTS: Thirteen patients met the inclusion criteria. No major complications related to the stent placement and its exteriorization were seen. Two patients required a second percutaneous procedure successfully achieved recovering the ureteral catheter through the nephrostomy tract. CONCLUSION: We present a safe and simple modification of tubeless percutaneous nephrolithotomy, with its well-known clinical benefits but maintaining a safe path for an eventual second look procedure if necessary.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nefrostomia Percutânea / Ureteroscopia / Cirurgia de Second-Look Limite: Female / Humans / Male / Middle aged Idioma: En / Es Revista: Actas Urol Esp Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Chile País de publicação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nefrostomia Percutânea / Ureteroscopia / Cirurgia de Second-Look Limite: Female / Humans / Male / Middle aged Idioma: En / Es Revista: Actas Urol Esp Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Chile País de publicação: Espanha