Oops we got in the chest: fluoroscopic chest tube insertion for hydrothorax after percutaneous nephrostolithotomy.
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.
Ogan
Kenneth
K
Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Pearle
Margaret S
MS
D004322:Drainage / Q000295:instrumentation / Q000379:methods; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D006872:Hydropneumothorax / Q000628:therapy*; D007669:Kidney Calculi / Q000628:therapy; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000295:instrumentation*; D011677:Punctures / Q000379:methods; D013907:Thoracostomy / Q000379:methods*