title: Oops we got in the chest: fluoroscopic chest tube insertion for hydrothorax after percutaneous nephrostolithotomy.
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.
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Ogan
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Pearle
mesh_terms: 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*