Skip to main content
SpringerLink
Log in

The percutaneous removal of difficult upper urinary tract calculi

  • Published:
World Journal of Urology Aims and scope Submit manuscript

Summary

Percutaneous nephrolithotomy has become an established procedure for urologic surgery. For the stone which is poorly accessible or of large volume, special approaches and techniques are essential for success. For example, exact anatomical conceptualization and pinpoint puncture are vital. These requirements are aided by retrograde hyperinflation with contrast medium and C-arm fluoroscopy. Sometimes multiple percutaneous nephrostomy tracts are required or the tract must be directed so that it courses transpleurally. Among the large number of instruments available for percutaneous nephrostomy, flexible endoscopy becomes increasingly important for the difficult stone. Intrarenal electrosurgery is also important. Finally, for ureteral stones, retrograde flushing with CO2 or saline through a percutaneous sheath may be useful. These additional approaches when judiciously applied can result in a stone-free status for virtually 100% of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Alken P, Hutschenreiter G, Günther R, Marberger M (1981) Percutaneous stone manipulation. J Urol 125:463–466

    Google Scholar 

  2. Coleman CC, Castaneda-Zuniga WR, Miller RP, Lange PH, Clayman RV, Hunter DW, Salomonowitz E, Lund GB, Amplatz K (1984) A logical approach to renal stone removal. AJR 143:609–615

    Google Scholar 

  3. Clayman RV, Surya V, Miller RP, Castaneda-Zuniga WR, Smith AD, Hunter DW, Amplatz K, Lange PH (1984) Percutaneous nephrolithotomy: extraction of renal and ureteral calculi from 100 patients. J Urol 131:868–871

    Google Scholar 

  4. Clayman RV, Castaneda-Zuniga WR, Hunter DW, Miller RP, Lange PH, Amplatz K (1983) Rapid balloon dilatation of the nephrostomy tract for nephrostolithotomy. Radiology 147:884–885

    Google Scholar 

  5. Clayman RV, Surya V, Castaneda-Zuniga WR, Miller RP, Lange PH (1983) Percutaneous nephrostolithotomy with Mazzariello-Caprini forceps. J Urol 129:1213–1215

    Google Scholar 

  6. Clayman RV, Surya V, Hunter DW, Castaneda-Zuniga WR, Miller RP, Coleman CC, Amplatz K, Lange PH (1984) Renal vascular complications associated with percutaneous removal of renal calculi. J Urol 132:228–230

    Google Scholar 

  7. Clayman RV, Hunter DW, Surya V, Castaneda-Zuniga WR, Amplatz K, Lange PH (1984) Percutaneous intrarenal electrosurgery. J. Urol 131:864–867

    Google Scholar 

  8. Hulbert JC, Reddy PK, Young AT, Lange PH (1985) Reappraisal of the management of staghorn stones. World Urol Update Vol 2, lesson 23

  9. Hulbert JC, Reddy PK, Hunter DW, Young AT, Castaneda-Zuniga WR, Amplatz K, Lange PH (in press) Percutaneous management of ureteral calculi facilitated by retrograde flushing with carbon dioxide or diluted radio opaque dye. J Urol

  10. Kaye KW (1983) Renal anatomy for endourologic stone removal. J Urol 130:1051–1054

    Google Scholar 

  11. Lange PH, Reddy PK, Hulbert JC, Clayman RV, Castaneda-Zuniga WR, Miller RP, Coleman CC, Amplatz K (1984) Percutaneous removal of caliceal and other “inaccessible” stones: instruments and techniques. J Urol 132:439–442

    Google Scholar 

  12. Miller RA, Wickham JEA (1984) Optical triradiate nephroscope: new concept in percutaneous renal surgery. Urology (special issue) 23:20–23

    Google Scholar 

  13. Motague GG, Jindal SL, Irvine AH, Abele RP (1984) Calculus formation in renal transplant patients. J Urol 132:448–449

    Google Scholar 

  14. Reddy PK, Lange PH, Hulbert JC, Clayman RV, Breen JF, Hunter DW, Coleman CC, Castaneda-Zuniga WR, Amplatz K (1984) Percutaneous removal of caliceal and other “inaccessible” stones: results. J Urol 132:443–447

    Google Scholar 

  15. Salomonowitz E, Castaneda-Zuniga WR, Lange PH, Cragg AH, Lund G, Hunter DW, Coleman CC, Amplatz K (1984) Percutaneous renal stone removal: use of carbon dioxide as contrast material. Radiology 150:833–836

    Google Scholar 

  16. Segura JW, Patterson DE, Leroy AJ, May GR, Smith LH (1983) Percutaneous lithotripsy. J Urol 130:1051–1054

    Google Scholar 

  17. Wickham JEA, Kellett MJ, Miller RA (1983) Elective percutaneous nephrostolithotomy in 50 patients: an analysis of the techniques, results and complications. J Urol 129:904–908

    Google Scholar 

  18. Young AT, Hunter DW, Castaneda-Zuniga WR, Hulbert JC, Coleman CC, Amplatz K (in press) Intercostal approach to the percutaneous extraction of urinary calculi. Radiology

Download references

Author information

Authors and Affiliations

  1. Department of Urologic Surgery, University of Minnesota, Mayo Memorial Building, Box 394, 55455-0321, Minneapolis, MN, USA

    John C. Hulbert & Paul H. Lange

  2. the Urology Section, Veterans Administration Medical Center, Minneapolis, Minnesota, USA

    John C. Hulbert & Paul H. Lange

Authors
  1. John C. Hulbert
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Paul H. Lange
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hulbert, J.C., Lange, P.H. The percutaneous removal of difficult upper urinary tract calculi. World J Urol 3, 19–23 (1985). https://doi.org/10.1007/BF00326882

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00326882

Keywords

Search

Navigation