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Semin intervent Radiol 2011; 28(4): 438-443
DOI: 10.1055/s-0031-1296086
© Thieme Medical Publishers

Nephrostolithotomy

Darryl A. Zuckerman1 , Alena Desai2
  • 1Department of Radiology, Washington University School of Medicine, St. Louis, Missouri
  • 2Division of Urology, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri
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Publikationsdatum:
03. Januar 2012 (online)

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ABSTRACT

Percutaneous nephrostolithotomy (PCNL) is the treatment of choice for large (>2 cm) renal calculi and staghorn calculi. Percutaneous access into the kidney is often achieved by interventional radiologists, either prior to stone surgery or in conjunction with the urology team. Several basic techniques should be considered in gaining access to the kidney to avoid both intraoperative and postoperative complications. In this article, the authors discuss indications for PCNL, techniques for renal access, complications of PCNL, and management of these complications. They also briefly discuss management of post-operative drainage tube(s).

KEYWORDS

Nephrostomy - nephrostolithotomy - lithotomy - calculi - staghorn

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Darryl A. ZuckermanM.D. 

Department of Radiology, Washington University School of Medicine

660 S. Euclid Avenue, St. Louis, MO 63110

eMail: zuckermand@mir.wustl.edu