Complete supine tubeless percutaneous nephrolithotomy.
Author(s) -
Siavash Falahatkar,
Alireza Farzan,
Aliakbar Allahkhah,
Nadia Rastjou Herfeh,
Samaneh Esmaeili
Publication year - 2014
Publication title -
urology journal
Language(s) - English
DOI - 10.22037/uj.v11i2.2575
Although,percutaneousnephrolithotomy(PCNL)hasbeenusuallyperformedinthe pronepositionbutrecentlyotherpositionslikesupineandcompletesupinehave beenrecommendedbysomeendourologists.(1-8)Thepronepositionhasnumerous disadvantagesbutalotofpublisheddatahavedenotedsomeadvantagesofthesupinePCNL, including less patient handling, easier access to the urethra, position changing in spinal or regionalanesthesiaiseasier,betteraccesstotheairwayofthepatients,easieraccesstothe uppercalyces,evacuationofstonefragment,feasibilityofsimultaneousureteroscopy,puncturesiteisfarfromthefluoroscopytube,shorteroperativetime,morecomfortforthepatient, lessriskofcoloninjuryandhighertoleranceforpulmonaryorcardiovasculardisease.(1,7-8) We aimed to share our experience of the complete supine percutaneous nephrolithotomy (csPCNL)withothersbyavideopresentationwiththedetailsofthetechnique.
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