2010
DOI: 10.1590/s1677-55382010000200006
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Supracostal access: does it affect tubeless percutaneous nephrolithotomy efficacy and safety?

Abstract: Introduction: Tubeless percutaneous nephrolithotomy (PCNL) in selected patients has been found to be safe and can reduce postoperative discomfort without increasing complications. The challenges of tubeless PCNL via supracostal access are inadequate drainage and postoperative bleeding, conditions that may increase pulmonary complications. We compare the efficacy and safety of the tubeless supracostal versus the standard supracostal PCNL. Materials and Methods: Supracostal PCNL with one percutaneous renal acces… Show more

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Cited by 36 publications
(35 citation statements)
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References 16 publications
(17 reference statements)
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“…Similar with our study, Shaban et al [3] and Jun-Ou et al [5] also achieved 88.9% and 84.6% success rates following supracostal PNL. …”
Section: Author's Replysupporting
confidence: 92%
“…Similar with our study, Shaban et al [3] and Jun-Ou et al [5] also achieved 88.9% and 84.6% success rates following supracostal PNL. …”
Section: Author's Replysupporting
confidence: 92%
“…Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large renal calculi, staghorn calculi and calculi which fail treatment with extracorporeal shockwave lithotripsy and ureteral endoscopy (1)(2)(3). PCNL can be performed under general anesthesia, regional anesthesia or local anesthesia.…”
Section: Introductionmentioning
confidence: 99%
“…26,27 Pleural injury can be avoided by staying above the lateral half of the 12th rib. 28,29 Urinary leak was noted in 4.6%. It improved in majority of the cases without any intervention.…”
Section: Discussionmentioning
confidence: 99%