The Supracostal Transhepatic Approach for Percutaneous Nephrolithotomy / 대한비뇨기과학회지

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.