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Percutaneous Nephrolithotomy in the Dog An Experimental Study
Author(s) -
DONNER GAYLE S.,
ELLISON GARY W.,
ACKERMAN NORMAN,
SENIOR DAVID F.,
CAMPBELL GREGORY
Publication year - 1987
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.1987.tb00979.x
Subject(s) - medicine , percutaneous nephrolithotomy , renal pelvis , percutaneous , nephrostomy , upper urinary tract , fluoroscopy , surgery , urinary system , pelvis , kidney , gross hematuria , kidney stones , radiology , ureter , anatomy
Percutaneous nephrostomies (PN) were created with teflon fascial dilators under fluoroscopic guidance, to implant stones bilaterally into the renal pelves of five dogs weighing 7 to 35 kg. Between one and seven stones of 0.25 to 1.00 cm diameter were implanted into each renal pelvis. Two to 4 weeks later, PN tracts were recreated, and the implanted renal stones were successfully removed under fluoroscopic and endoscopic visualization. Results of gross and histopathologic evaluation of the kidneys 2,7,14, 30, and 90 days after stone removal showed minimal, localized renal parenchymal trauma. Complications, although infrequent, included proximal ureteral tears and hemorrhage. Difficulty was encountered in maneuvering equipment around large or numerous stones. Canine percutaneous nephrolithotomy was successful despite great variation in kidney size, as well as variations in the number, size, and shape of stones in the upper urinary tract.