Percutaneous Nephrolithotomy under Local Infiltration Anesthesia in Kneeling Prone Position for a Patient with Spinal Deformity.

Percutaneous Nephrolithotomy under Local Infiltration Anesthesia in Kneeling Prone Position for a Patient with Spinal Deformity.
Acta Med Okayama. 2020 Apr;74(2):175-178
Authors: Yu Z, Lin W, Xu A, Liu C, Li H, Huang P
Abstract
Urolithiasis, a common condition in patients with spinal deformity, poses a challenge to surgical procedures and anesthetic management. A 51-year-old Chinese male presented with bilateral complex renal calculi. He was also affected by severe kyphosis deformity and spinal stiffness due to ankylosing spondylitis. Dr. Li performed the percutaneous nephrolithotomy under local infiltration anesthesia with the patient in a kneeling prone position, achieving satisfactory stone clearance with no severe complications. We found this protocol safe and effective to manage kidney stones in patients with spinal deformity. Local infiltration anesthesia may benefit patients for whom epidural anesthesia and intubation anesthesia are difficult.
PMID: 32341594 [PubMed - in process]

Source: Acta Med Okayama - March 31, 2020 Category: Universities & Medical Training Authors: Yu Z, Lin W, Xu A, Liu C, Li H, Huang P Tags: Acta Med Okayama Source Type: research