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Supine Percutaneous Nephrolithotripsy in Double-S Position.
Giuseppe Giusti1, Antonello De Lisa1
1Department of Urology, University of Cagliari, Via Is Mirrionis 92, 09121 Cagliari, Italy.
Advances in Urology
|May 2, 2018
Summary
This study introduces a novel supine position for percutaneous nephrolithotripsy (PCNL), enhancing patient safety and procedural efficiency for kidney stone removal. The technique simplifies access and allows for combined treatments.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Percutaneous nephrolithotripsy (PCNL) is commonly performed in prone or supine positions.
- A need exists for improved patient positioning in PCNL.
Purpose of the Study:
- To describe an innovative supine positioning technique for PCNL.
- To evaluate the safety and efficacy of this novel position.
Main Methods:
- A modified supine position with specific thoracic inclination and support was utilized.
- The technique allows continuous access to external genitalia for flexible instrumentation.
- The position was used in 45 patients undergoing PCNL over 12 months.
Main Results:
- All procedures were completed successfully without complications.
- Benefits include easier patient positioning, improved flank exposure, and reduced risk of pressure injuries.
- Facilitates combined endourological procedures (ECIRS) and offers good fluoroscopic visualization.
Conclusions:
- The described supine position is effective, safe, and easy to implement for PCNL.
- It allows for combined anterograde and retrograde renal access.
- This technique offers advantages over traditional positioning methods.
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