Supine percutaneous nephrolithotomy: tips and tricks

Proietti, Silvia; Socarrás, M.E. Rodríguez; Eisner, Brian H.; Coninck, Vincent De; Sofer, Mario; Saitta, Giuseppe; Rodríguez-Monsalve, María; D’Orta, Carlo; Bellinzoni, P.; Gaboardi, Franco; Giusti, Guido

doi:10.21037/tau.2019.07.09

Cited by 50 publications

(42 citation statements)

References 35 publications

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“…Although PCNL was first applied in the prone position, the preference for the supine position is increasing day by day [11]. In a study comparing supine and prone intervention results, the supine position had less blood loss, shorter surgical time, and shorter hospital stay while stone-free and complication rates were equal [12].…”

Section: Discussionmentioning

confidence: 99%

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Üntan

Sabur

2021

Indian J Surg

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Percutaneous nephrolithotomy is an invasive procedure applied to large and complex stones in the prone or supine position. Various complications—but mostly fever or bleeding—can be seen during and after the procedure. Neighboring organ injuries are rare during access. Liver injuries are rarely seen and have a better clinical prognosis than other organ injuries. We present the management of liver injury with ptosis of the retro-renal right lobe as a complication during supine percutaneous nephrolithotomy.

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Section: Discussionmentioning

confidence: 99%

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Üntan

Sabur

2021

Indian J Surg

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“…20% of all PCNLs entered into the Global PCNL study of the Clinical Research Office of the Endourological Society were performed in the supine position. 2 The proposed advantages are better anaesthesiologist management of cardiopulmonary system especially in obese patients, less intrarenal pressures, easy removal of fragments with the aid of gravity, reduced radiation exposure to surgeon's hand, shorter operative time and ability to perform Endoscopic Combined Intrarenal Surgery (ECIRS) and Simultaneous Bilateral Endoscopic Surgery (SBES). 2 Supine PCNL has been well established as an alternative to prone PCNL in adults over the last decade.…”

Section: Discussionmentioning

confidence: 99%

Supine percutaneous nephrolithotomy in a 9-month infant

Vaddi¹,

Ramakrishna²,

Pm³

et al. 2021

Urology Case Reports

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Treatment of nephrolithiasis in infants is challenging. There are no separate guidelines for the management of renal stones in infants. There is a recent surge in doing PCNL in supine position. Literature is lacking regarding the feasibility and safety of supine PCNL in infants. We report a case of supine PCNL in 9-month-old female baby. We report our case to insist on the feasibility, safety and advantages of supine PCNL even in less than 1 year age group.

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“…Proietti et al stated that the renal sheath angle parallel to the ground is one of the advantages of the supine position. The advantage of this angle to the prone position has been reported as a decrease in intrarenal pressure and spillage of fragments [ 27 ]. Since the angle of the sheath, which is 90 degrees to the ground in horseshoe kidney, will be parallel to the ground in the position we have defined, it may contribute to the reduction in intra-renal pressure.…”

Section: Discussionmentioning

confidence: 99%

A new percutaneous nephrolithotomy position in horseshoe kidney: 45 degree sided prone

Karslı

Üstüner

Voyvoda

et al. 2020

Cent european J Urol

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Introduction In this study we aimed to determine the effects of the 45 degrees sided prone position to the surgeon’s comfort, operation time, fluoroscopy time and complications at the operation of percutaneous nephrolithotomy (PCNL) for the treatment of kidney stone of horseshoe kidney (HK) or rotation anomaly kidney. Material and methods Thirty eight patients (25 male, 13 female) with renal calculi and HK, underwent PCNL. After the amplatz sheath was inserted into the collecting system, the patients in group 1 (n:20) were taken to the 45 degrees side position to the side of the operation and patients in group 2 (n:18) were operated in classical prone position. Operative data of two groups were compared statistically. Results Mean stone size of group 1 was 557.8 ±244.8 mm 3 (188–1175) and group 2 was 590.7 ±172.8 mm 3 (423–909) (p = 0.639). In group 1 mean operation time was 78.6 ±21.8 (45–120) minutes and in group 2 was 95.05 ±11.5 (69–120) minutes. The difference for operation time was statistically significant and shorter in the sided group (p = 0.02). Conclusions The working position of rigid nephroscope is 90 degrees to the body after the dorsomedial or dorsolateral access. In our study the position of patient is laterally sided 45 degree and the flexion on the surgeon’s shoulder was minimised. This new position described for PCNL in HK allows comfortable working position for surgeon after upper pole posterior calyces access.

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Supine percutaneous nephrolithotomy: tips and tricks

Cited by 50 publications

References 35 publications

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Supine percutaneous nephrolithotomy in a 9-month infant

A new percutaneous nephrolithotomy position in horseshoe kidney: 45 degree sided prone

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