Acta Medica Okayama volume74 issue2
2020-04 発行

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

Yu, Zhikang Department of Urology, Zhujiang Hospital, Southern Medical University
Lin, Wenfeng Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Xu, Abai Department of Urology, Zhujiang Hospital, Southern Medical University
Liu, Chunxiao Department of Urology, Zhujiang Hospital, Southern Medical University
Li, Hulin Department of Urology, Zhujiang Hospital, Southern Medical University
Huang, Peng Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Publication Date
2020-04
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.
Document Type
Case Report
Keywords
percutaneous nephrolithotomy
local infiltration anesthesia
kneeling prone position
spinal deformity
Link to PubMed
Thumnail 74_2_175.pdf 4.53 MB