Korean J Urol.
2003 Jul;44(7):714-717.
The Supracostal Transhepatic Approach for Percutaneous Nephrolithotomy
- Affiliations
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- 1Department of Urology, College of Medicine, Kyungpook National University, Daegu, Korea. uropark@knu.ac.kr
Abstract
- The optimal approach for a staghorn, large upper calyceal or complex renal stone burden is through the upper pole posterior calyx, which at times is best accomplished by a supracostal puncture. A supracostal posterior calyx puncture is usually of concern due to the potential complications of pneumothorax, hydrothorax and lung injury. A case of right upper calyceal calculi is reported in a 25-year-old male, who was managed by a supracostal transhepatic percutaneous nephrolithotomy.
