Prospective evaluation of safety and efficacy of the supracostal
approach for percutaneous nephrolithotomy.
or upper pole puncture, patients can follow verbal commands and control respiration more easily under RA.
Characteristics Renal units Units Side Right 6 Left 7 Stone location Renal pelvis 4 Caliceal 2 Multiple sites 7 Stone multiplicity Single 2 Multiple 9 Partial staghorn 2 Stone opacity Opaque 11 Lucent 2 Nature of stones Primary 13 Recurrent 0 Cutaneous tract access Subcostal 9 Supracostal
1 Both 2 Failed 0 Table 4: Postoperative characteristics and outcomes.
punctures for PCNL: Factors that predict safety, success and stone free rate in stag horn and non-stag horn stones: A single centre experience and review of literature," Journal of Clinical and Diagnostic Research, vol.
Since the tube in supracostal
PCNL is likely to move with every breath, more pain is expected leading to higher and frequent doses of analgesia.
puncture, patients with PCNL under regional anaesthesia can follow verbal commands and control respiration for prevention of pulmonary events.
Respiratory distress is one of the most common problems presented within the first few days of life.1,2 Respiratory distress in the newborn may present as apnoea, cyanosis, grunting, inspiratory stridor, nasal flaring, poor feeding, tachypnoea (more than 60 breaths per minute) and intercostal, subcostal or supracostal
recessions.3 It occurs in about 7% neonates.
We did a supracostal
incision, over the upper border of the 10th rib, with adequate dissection of the pleura and diaphragmatic fibres.
No significant differences among three groups were found with respect to supracostal
access necessity (13%, 18% and 18%), operation duration (112 min, 110 min and 110 min).
Plural injury is seen in 3-7% of supracostal
A lumbar, supracostal
, extra-pleural and extra-peritoneal approach was used.
Intrarenal anatomy, stone configuration were studied and the desired upper calyx was punctured by supracostal
via the 11th intercostal space and guide wires were navigated through the collecting system and duly fixed and tract dilatation was pursued.