Percutaneous renal access:: A simplified approach

被引:18
作者
Mues, Enrique
Gutierrez, Jorge
Loske, Achim M.
机构
[1] Univ Nacl Autonoma Mexico, Ctr Fis Aplicada & Tecnol Avanzada, Dept Nanotecnol, Queretaro 76000, Qro, Mexico
[2] Univ Guadalajara, Nuevo Hosp Civil, Guadalajara 44430, Jalisco, Mexico
[3] Univ Valle, Juriquilla, Qro, Mexico
关键词
D O I
10.1089/end.2007.9887
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To present a simplified surgical technique to access the kidney percutaneously with low exposure to radiation. Material and Methods: This percutaneous approach to the kidney '' creates '' a plane of coincidence between the C-arm beam axis and the needle axis. Both axes always have the same angle running in opposite directions with the predetermined calix located in the medial vertical plane at 0 degrees. Twenty-one percutaneous access tracts were made into the lower calix and 7 into the middle and upper calices. The 3-dimensional position of the inserted needle was determined. Results: All tracts were successfully accomplished. Statistical analysis of 28 procedures revealed that the technique is reproducible. The coefficient of variation of the angle determining the entrance position of the needle was low, which indicated that the procedure is reproducible and easy to teach. Conclusion: The technique is safe, easy to perform, reproducible, and requires less radiation than other methods.
引用
收藏
页码:1271 / 1275
页数:5
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