The patients who required an upper/middle caliceal
puncture or multiple punctures, were morbidly obese, experienced serious bleeding during or after the operation, had a previous history of kidney operations or had a delayed recovery (a sustained extravasation of opaque material on the postoperative antegrade pyelography) were excluded from the study.
Supracostal percutaneous nephrolithotomy for upper pole caliceal
Patients who had an upper caliceal
access procedure underwent a chest film to detect any chest complications.
The cases without caliceal
or pelvic dilation were classified as grade 0 hydronephrosis, tumours with pelvic dilation only were classified as grade 1, and the cases accompanying mild calix dilation were classified as grade 2.
locations of stones is more predictive for stone-free rates for staghorn stones.
31] There is agreement about the role of laparoscopy in stone surgery by many authors, but in special situations, such as those associated with pelvi-ureteric junction obstruction, stone in the pelvic kidney and caliceal
PCNL is associated with several concerns regarding the management of stone disease in malformed kidneys, including abnormal position with abnormal renal and caliceal
orientation, abnormal relations of calices to the renal pelvis and upper ureter, aberrant vasculature, relative kidney immobility impeding the maneuverability of rigid instruments, and abnormal relations with other organs, particularly the bowel.
Prospective randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal
calculi 1 cm or less.
stone clearance after shock wave lithotripsy or ureteroscopy: the impact of lower pole radiographic anatomy.
An IVU was done in 3 patients and demonstrated space-occupying lesions and caliceal
distortion in 2 patients and a non-functioning kidney in 1 patient (Fig.