Percutaneous Nephrolithotomy with Ultrasonography-Guided Renal Access in the Lateral Decubitus Flank Position

被引:45
作者
Karami, Hossein [1 ]
Arbab, Amir Haji Mohammad Mehdi [2 ]
Rezaei, Alireza
Mohammadhoseini, Mojtaba
Rezaei, Iraj
机构
[1] Urol & Nephrol Res Ctr, Dept Urol, Tehran 1666679951, Iran
[2] Shohadaye Tajrish Hosp, Tehran, Iran
关键词
MORBID-OBESITY; PATIENT;
D O I
10.1089/end.2008.0433
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: Our aim was to evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) with ultrasonography (US)-guided renal access in the lateral decubitus flank position. Patients and Methods: From July 2006 to March 2008, 40 patients with renal stones > 2 cm underwent PCNL with US-guided renal access in the lateral decubitus flank position by a single surgeon. We report our technique and the outcomes in detail. Results: Successful access was achieved in 40 patients (100%). Complete stone clearance rate was 85% (34 patients). After surgery, six (15%) patients had stones (6-11 mm) detected by plain abdominal radiography or sonography and were referred for shockwave lithotripsy. The mean stone size was 29 mm (range 22-43 mm). The mean operative time was 45 minutes (range 32-75 min), and the mean hospital stay was 2.8 days (range 2-4 d). Postoperative US did not reveal considerable fluid collection. There were no visceral injuries. Also, there was no significant bleeding that led to transfusion intraoperatively and postoperatively. Conclusion: PCNL with US-guided renal access in the lateral decubitus flank position is safe and convenient, and prevents harmful effects of radiation for the surgeon, the surgical team, and the patient.
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收藏
页码:33 / 35
页数:3
相关论文
共 13 条
[1]  
[Anonymous], BR J UROL
[2]   Pulmonary physiologic changes of morbid obesity [J].
Biring, MS ;
Lewis, MI ;
Liu, JT ;
Mohsenifar, Z .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1999, 318 (05) :293-297
[3]  
Candela J, 1997, Tech Urol, V3, P6
[4]   PERCUTANEOUS LITHOTRIPSY IN MORBID-OBESITY [J].
CARSON, CC ;
DANNEBERGER, JE ;
WEINERTH, JL .
JOURNAL OF UROLOGY, 1988, 139 (02) :243-245
[5]   Safety and efficacy of tubeless percutaneous nephrostolithotomy [J].
Delnay, KM ;
Wake, RW .
WORLD JOURNAL OF UROLOGY, 1998, 16 (06) :375-377
[6]   Lateral decubitus position for percutaneous nephrolithotripsy in the morbidly obese or kyphotic patient [J].
Gofrit, ON ;
Shapiro, A ;
Donchin, Y ;
Bloom, AI ;
Shenfeld, OZ ;
Landau, EH ;
Pode, D .
JOURNAL OF ENDOUROLOGY, 2002, 16 (06) :383-386
[7]   PERCUTANEOUS TROCAR (NEEDLE) NEPHROSTOMY IN HYDRONEPHROSIS [J].
GOODWIN, WE ;
CASEY, WC ;
WOOLF, W .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1955, 157 (11) :891-894
[8]   Totally tubeless percutaneous nephrolithotomy in selected patients [J].
Karami, H ;
Gholamrezaie, HR .
JOURNAL OF ENDOUROLOGY, 2004, 18 (05) :475-476
[9]   PERCUTANEOUS STONE REMOVAL WITH THE PATIENT IN A FLANK POSITION [J].
KERBL, K ;
CLAYMAN, RV ;
CHANDHOKE, PS ;
URBAN, DA ;
DELEO, BC ;
CARBONE, JM .
JOURNAL OF UROLOGY, 1994, 151 (03) :686-688
[10]  
MARBERGER M, 1983, UROL CLIN N AM, V10, P729