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Related Experiment Videos

Retrograde percutaneous nephrostomy.

I F Hawkins

    Critical Reviews in Diagnostic Imaging
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    The retrograde nephrostomy technique offers a safer, more reliable, and faster method for kidney stone removal compared to the antegrade approach. This percutaneous procedure has proven effective in over 200 cases without complications.

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    Area of Science:

    • Urology
    • Minimally Invasive Surgery
    • Nephrology

    Background:

    • Percutaneous nephrolithotomy is a standard procedure for kidney stone removal.
    • Traditional antegrade nephrostomy can be challenging in non-dilated systems.
    • Prior techniques include transvenous punch biopsy and cholangiography.

    Purpose of the Study:

    • To introduce and evaluate the "inside-out" retrograde nephrostomy technique.
    • To compare the safety, reliability, and efficiency of the retrograde versus antegrade approach.
    • To present modifications and technical considerations for the retrograde nephrostomy procedure.

    Main Methods:

    • A 9 or 10 French catheter is placed into a minor calix via cystoscopy or fluoroscopy.
    • A 21-gauge needle is passed through the catheter exiting the skin.

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  • The tract is subsequently dilated over the needle.

    • Main Results:

    • The retrograde nephrostomy technique was successfully used in over 200 cases.
    • No complications were directly attributed to the nephrostomy procedure.
    • The retrograde approach demonstrated superior safety, reliability, and reduced time compared to the antegrade method, especially in non-dilated systems.

    Conclusions:

    • The "inside-out" retrograde nephrostomy is a safe and effective percutaneous method for kidney stone removal.
    • This technique offers advantages over the traditional antegrade approach, particularly in challenging cases.
    • Further modifications enhance the applicability and success of the retrograde nephrostomy procedure.