Instrumentation and Surgical Technique: Postoperative Imaging Following Percutaneous Nephrolithotomy

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The goal of imaging after percutaneous nephrolithotomy is to assure complete stone removal and anterograde urinary drainage and to identify potential complications. Computed tomography offers the most sensitive and specific modality for detecting residual stone fragments and readily detects perinephric hematomas or injuries to surrounding organs. The role of antegrade nephrostogram is controversial but it provides some assurance of the absence of distal obstruction prior to nephrostomy tube removal. Routine immediate postoperative chest radiography is not necessary for the diagnosis of clinically significant hydropneumothorax but clinical suspicion should guide the need for postoperative chest imaging. Intermediate and long-term imaging is aimed at detecting stone recurrences and the frequency and type of imaging are dictated by the metabolic activity of the individual patient.

Original languageEnglish (US)
Title of host publicationPercutaneous Renal Surgery
Publisherwiley
Pages152-160
Number of pages9
ISBN (Electronic)9781118670903
ISBN (Print)9781118278734
DOIs
StatePublished - Oct 28 2013

Keywords

  • Anterograde nephrostogram
  • Computed tomography
  • Hydrothorax
  • Imaging
  • Percutaneous nephrolithotomy
  • Residual fragments

ASJC Scopus subject areas

  • Medicine(all)

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