The normal anatomical location of both kidneys is in the retroperitoneum, although a signicant portion of each kidney is actually
supracostal; the lower pole is nearly always subcostal.
Tubeless percutaneous nephrolithotomy: safe even in
supracostal access.
In case of
supracostal or upper calyceal puncture, chest X-ray was ordered to assess pleural injury.
While direct nephropleural fistulas occurring in the setting of percutaneous
supracostal renal access may be managed solely with repetitive thoracentesis or pleural catheter drainage alone, in most other instances urinary stenting, diversion and/or direct repair is typically employed.
Supracostal accesses above eleventh rib should be avoided when other puncture options are available to decrease pneumothorax occurrence (24), which can be easily distinguished by C-arm CT imaging.
Respiratory distress was defined as the presence of signs of respiratory distress (i.e., cyanosis, grunting, inspiratory stridor, nasal flaring, or tachypnea) with retractions in the intercostal, subcostal or
supracostal spaces with specific radiological features in some cases.
Simple nephrectomy was performed through the lumbar approach using the
supracostal incision (12th rib) under general anaesthesia.
9 cases got subcostal cutaneous puncture; 1 case received
supracostal puncture; 2 cases required 2 cutaneous tract access both subcostal and
supracostal in order to clean the stone as much as possible.
Supracostal puncture is a safe and effective choice in a selected group of patients [3].
Outpatient bilateral
supracostal tubeless percutaneous nephrolithotomy for staghorn calculi.
Tubeless percutaneous nepholithotomy: safe even in
supracostal access.
The child may have only a "croupy" or "seal-like" cough, or may present in various degrees of respiratory distress with inspiratory stridor, flaring of the ala nasi, and intercostal or
supracostal retractions.