Application of flank suspended supine position in percutaneous nephrolithotomy
10.3760/cma.j.issn.1000-6702.2011.01.003
- VernacularTitle:腰肋悬空仰卧位下经皮肾镜取石术的临床研究
- Author:
Tiejun PAN
;
Jiaqiao ZHANG
;
Gongcheng LI
;
Handong WEN
;
Guoqiu SHEN
;
Zhong TU
;
Jiarong YANG
;
Jun GUO
;
Weihong QIAN
- Publication Type:Journal Article
- Keywords:
Nephrostomy,percutaneous;
Kidney calculi;
Supine position;
Ureteral calculi
- From:
Chinese Journal of Urology
2011;32(1):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of percutaneous nephrolithotomy (PCNL) in a new operative position, flank suspended supine position. Methods The new position hold affected flank suspended by raising the ipsilateral shoulder and haunch with two 3-liter saline bags, and set up waist bridge simultaneously. From March 2010 to October 2010, a series of 173 patients underwent PCNL with the new supine position under epidural anesthesia. The average age was (50± 11) years, and the average bulk of the stone was (2. 9±1.0) cm. All patients were placed in the new supine position. Under ultrasound guidance, the desired calix or pelvis was punctured near the posterior axillary line, then dilating the tract and establishing the 16 F or 20 F tract for PCNL. Results The pelvicaliceal system could be successfully approached in all patients. The procedure was well tolerated in all patients. Mean operation time was (86 ± 34) min. 80. 3% of the patients were rendered free of stones by the initial PCNL. Thirty-four cases had residual stones, and a second PCNL was performed in 16 cases to clear the residual stones. Only 1 patient required blood transfusion.None of the patients suffered visceral injury. Conclusion The new supine position is safe and effective for PCNL.
