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Oops we got in the chest: fluoroscopic chest tube insertion for hydrothorax after percutaneous nephrostolithotomy
Kenneth Ogan1, Margaret S Pearle
1Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Urology
|December 12, 2002
Abstract:
Percutaneous supracostal renal puncture provides ideal access to the collecting system or proximal ureter but is associated with an increased risk of pleural injury. We describe a simplified approach to intraoperative thoracostomy tube placement that uses urologic techniques and protects against recurrent hydrothoraces at second-look nephroscopy, without increasing patient morbidity or length of hospital stay.