Open AccessLateral percutaneous nephrolithotomy: A safe and effective surgical approach
Author(s) -
Jonathan Jian Wei Gan,
Jaslyn Gan,
Jasmine Ju Hsien Gan,
Kim Tiong Lee
Publication year - 2018
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/iju.iju_219_17
Subject(s) - medicine , percutaneous nephrolithotomy , supine position , prone position , surgery , percutaneous , hydrothorax , renal pelvis , pelvis , operating table , nephrostomy , abdomen , ureter , ascites
Percutaneous nephrolithotomy (PCNL) is traditionally performed with the patient in the prone position for large renal calculi. However, anesthetic limitations exist with the prone position. Similarly, the supine position is associated with poorer ergonomics due to the awkward downward position of the renal tract, a smaller window for percutaneous puncture, and a higher risk of anterior calyx puncture. This study aimed to demonstrate the feasibility and safety of lateral-PCNL in managing large renal calculi without the disadvantages of prone and supine positions.