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J Endourol. 2009 Jan;23(1):33-5. doi: 10.1089/end.2008.0433.

Percutaneous nephrolithotomy with ultrasonography-guided renal access in the lateral decubitus flank position.

Author information

1
Urology and Nephrology Research Center, Tehran, Iran. karami_hosein@yahoo.com

Abstract

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.

PMID:
19178170
DOI:
10.1089/end.2008.0433
[Indexed for MEDLINE]

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