[Percutaneous placement of a double-J endoprosthesis using a descending approach in malignant pelvic tumor threatening the permeability of the upper urinary tract. Apropos of 10 patients].
The percutaneous route should be used for ureteral endoprosthesis placement, whenever ascending retrograde passage is not accessible. The authors review the experience gained from attending 10 patients with advance-stage pelvic malignancies and describe the technique used. Emphasis is placed on care needed when selecting the proper route of entry, as well as on advantages presented by J x 2 large gauge probes developed from new biocompatible polymers. This surgical technique may, some times, ensure comfortable survival in selected, premedicated patients under local anesthesia, in whom it is well-tolerated, and yields low complication rates.
Giron
J P
JP
Service de Radiologie, Clinique Béthesda, Strasbourg.
Viville
C
C
Belot
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D010386:Pelvic Neoplasms / Q000150:complications / Q000628:therapy*; D019736:Prostheses and Implants; D014517:Ureteral Obstruction / Q000209:etiology / Q000628:therapy*
Mise en place d'endo-prothèses double-J par voie percutanée descendante dans les affections malignes pelviennes menaçant la perméabilité des voies urinaires supérieures. A propos de 10 patients.