Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Simultaneous bilateral percutaneous nephrolithotomy with subarachnoid spinal anesthesia

R B Nadler1, T G Monk, O Elashry

  • 1Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

Journal of Endourology
|April 8, 1998
PubMed
Summary

Simultaneous bilateral percutaneous nephrolithotomy combined with subarachnoid Duramorph significantly reduces hospital stay and narcotic use for patients with large kidney stones. This approach offers a faster recovery compared to staged procedures.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Progression of Intravesical Condyloma Acuminata to Locally Advanced Poorly Differentiated Squamous Cell Carcinoma.

Urology case reports·2016
Same author

Robotics in urologic surgery.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2009
Same author

Laparoscopic renal surgery.

Minerva chirurgica·2009
Same author

Laparoscopic radical prostatectomy: review and assessment of an emerging technique.

Surgical endoscopy·2005
Same author

Renal tumors in young adults.

The Journal of urology·2003
Same author

Safety and efficacy of 12-mm radial dilating ports for laparoscopic access.

BJU international·2003

Area of Science:

  • Urology
  • Nephrology
  • Minimally Invasive Surgery

Background:

  • Large bilateral renal calculi present a significant treatment challenge.
  • Traditional staged percutaneous nephrolithotomy (PCN) involves prolonged hospitalization and substantial postoperative pain management.

Purpose of the Study:

  • To evaluate the efficacy and safety of simultaneous bilateral percutaneous nephrolithotomy (SBPN) combined with subarachnoid Duramorph.
  • To compare outcomes of SBPN with subarachnoid Duramorph against staged bilateral PCN for large bilateral kidney stones.

Main Methods:

  • Four patients with large bilateral kidney stones underwent SBPN combined with subarachnoid Duramorph (study group).
  • A control group of four patients with similar stone burdens underwent staged bilateral PCNs.

Related Experiment Videos

  • Key outcome measures included hospital stay duration and postoperative narcotic requirements.

    • Main Results:

    • The study group experienced a significantly shorter hospital stay (4.8 days vs. 11 days).
    • Postoperative narcotic requirement was markedly reduced in the study group (27.5 mg meperidine vs. 533 mg).
    • All patients in the study group were rendered stone-free.

    Conclusions:

    • Combining SBPN with subarachnoid Duramorph offers a superior treatment option for large bilateral renal calculi.
    • This modified approach leads to decreased postoperative discomfort, reduced morbidity, and accelerated recovery compared to staged PCN.
    • SBPN with subarachnoid Duramorph represents an effective and efficient strategy for managing complex bilateral kidney stones.