Percutaneous nephrolithotomy under local infiltration anesthesia in kneeling prone position for a patient with spinal deformity

Zhikang Yu, Wenfeng Lin, Abai Xu, Chunxiao Liu, Hulin Li, Peng Huang

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)175-178
Number of pages4
JournalActa medica Okayama
Volume74
Issue number2
Publication statusPublished - 2020

Keywords

  • Kneeling prone position
  • Local infiltration anesthesia
  • Percutaneous nephrolithotomy
  • Spinal deformity

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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