V03-06 CROSS-TABLE BULLSEYE FOR PERCUTANEOUS NEPHROLITHOTOMY

Abstract

You have accessJournal of UrologyUrolithiasis & Endourology1 Apr 2018V03-06 CROSS-TABLE BULLSEYE FOR PERCUTANEOUS NEPHROLITHOTOMY Rus Korets, Timothy Batter, and Brian Eisner Rus KoretsRus Korets More articles by this author , Timothy BatterTimothy Batter More articles by this author , and Brian EisnerBrian Eisner More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.831AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The ″eye of the needle″ or ″bullseye″ technique is a commonly performed access technique for prone percutaneous nephrolithotomy (PCNL). We have created a novel puncture method for supine PCNL called the ″cross table bullseye,″ which incorporates aspects of the prone technique and simplifies supine puncture. METHODS The technique consists of three steps: A retrograde pyelogram is taken in the AP view to determine the collecting system anatomy; then the c-arm is rotated 90 degrees to determine the location of the calyces in the anterior-posterior plane and their corresponding skin entry sites; and then the c-arm is rotated back to the AP view to guide the puncture of the kidney with the needle parallel to the floor, moving only in the cranial-caudal plane. RESULTS Video and fluoroscopic footage taken from several procedures demonstrated the success of the obtaining percutaneous renal access using the fluoroscopic cross-table bullseye technique. The steps involved in the successful supine percutaneous renal access were identified and described in both written captions and audio narration. CONCLUSIONS In our experience, the cross-table bullseye technique simplifies supine percutaneous renal puncture by using and adapting aspects of the well-known ″bullseye technique″ for prone percutaneous access. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e323 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Rus Korets More articles by this author Timothy Batter More articles by this author Brian Eisner More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...