Percutaneous nephrostomy step by step

Abstract

Percutaneous renal access remains the cornerstone initial step in varied clinical settings. For obtaining the best surgical outcome and minimizing patient morbidity, an appropriate access to the target calyx is needed. Though the site of entry depends upon anatomy of pelvicalyceal system and indication for access, a proper technique should be used for gaining access and at the same time minimizing the associated complications. This article describes our technique of gaining access to the pelvicalyceal system and subsequent percutaneous nephrostomy placement in a stepwise manner.

Keywords

Percutaneous nephrostomy / ultrasound / hydronephrosis

References

[1] Goodwin WE,Woolf W.Percutaneous trocar (needle) nephrostomy in hydronephrosis..J Am Med Assoc1955;157:891-4

[2] Dyer RB,Kavanagh PV,Chen MY.Percutaneous nephrostomy with extensions of the technique: step by step..Radiographics2002;22:503-25

[3] Millward SF.Percutaneous nephrostomy: a practical approach..J Vasc Interv Radiol2000;11:955-64

[4] Desai M.Ultrasonography-guided punctures-with and without puncture guide..J Endourol2009;23:1641-3

[5] Ota-o N,Mishra S,Sabnis R.Percutaneous nephrolithotomy in pelvic kidneys: is the ultrasound-guided puncture safe?.Urology2015;85:55-8

[6] Steinberg PL,Wason SE,Pais VM.Fluoroscopy-guided percutaneous renal access..J Endourol2009;23:1627-31

[7] Ghani KR,Anson K.Computed tomography for percutaneous renal access..J Endourol2009;23:1633-9

[8] Tokue H,Arai Y,Endo K.Anchoring system-assisted coil tract embolization: a new technique for management of arterial bleeding associated with percutaneous nephrostomy..J Vasc Interv Radiol2011;22:1625-9