Approaches to the superior calix: renal displacement technique and review of options.
A new percutaneous approach to the superior calix has been implemented with reduced morbidity. To avoid intercostal or retrograde punctures or triangulation methods an Amplatz sheath passed through a central or lower pole calix can be pushed caudally while descent of the kidney is viewed fluoroscopically. An 18-gauge TLA needle passed through the initial skin puncture then is used to form a Y with the original tract. This method has been successful in 21 of 25 cases without complications. The only failures occurred in patients with immobile kidneys secondary to a previous operation.
Karlin
G S
GS
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Smith
A D
AD
D005471:Fluoroscopy; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D007670:Kidney Calices / Q000000981:diagnostic imaging / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D009403:Nephrostomy, Percutaneous