V1720 SIMPLIFIED METHOD OF PERCUTANEOUS NEPHROLITHOTOMY IN THE SIMPLE MALROTATION: TECHNICAL ASPECTS

Abstract

You have accessJournal of UrologyTransplantation and Urolithiasis1 Apr 2013V1720 SIMPLIFIED METHOD OF PERCUTANEOUS NEPHROLITHOTOMY IN THE SIMPLE MALROTATION: TECHNICAL ASPECTS Jose Agudelo, Euro Arias, Nasser Ktech, Luis Sanchez, Eduardo Peña, Ricardo Montiel, and Manuel Riveros Jose AgudeloJose Agudelo Maracaibo, Venezuela More articles by this author , Euro AriasEuro Arias Maracaibo, Venezuela More articles by this author , Nasser KtechNasser Ktech Maracaibo, Venezuela More articles by this author , Luis SanchezLuis Sanchez Maracaibo, Venezuela More articles by this author , Eduardo PeñaEduardo Peña Maracaibo, Venezuela More articles by this author , Ricardo MontielRicardo Montiel Maracaibo, Venezuela More articles by this author , and Manuel RiverosManuel Riveros Maracaibo, Venezuela More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2921AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Renal malrotation is a malformation that is generally combined with other kidney anomalies. The isolated entity known as simple malrotation is rarely seen in a PCNL procedure. Simplified technique is a method described as a renal percutaneous approach that creates a plane of coincidence between the C arm beam axis and the needle axis. We are going to show the feasibility of this technique in the simple malrotation. METHODS We present a video, with a female patient with a 1.4 cm stone, with 1116 Hounsfield units in a malrotated kidney. A percutaneous approach was planned with the patient in prone position. The inferior calyx was selected in this case, and it was marked with the C arm angulated as usual for this technique and the entrance point was selected. A more vertical puncture, parallel to the intervertebral muscle, was done with success. Dilation as well as stone management was accomplished, keeping the vertical orientation at all time. A stone free status was reached for this patient. RESULTS The technique shown in the video was applied to 6 consecutive patients with this infrequent malformation. The mean stone size was 2.1 cm, 4 of them were located in the renal pelvis, a mean operative time of 52 minutes was recorded, a hemoglobin decrease of o.6 g/dl, mean hospital stay of 1.3 days, and the stone free status was reached in all patients. CONCLUSIONS The simplified percutaneous nephrolithotomy tecnique is a rapid, safe, and effective method for renal access in the simple malrotation. We consider that it can also be applied to other renal anomalies with posterior facing calyces. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e707-e708 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jose Agudelo Maracaibo, Venezuela More articles by this author Euro Arias Maracaibo, Venezuela More articles by this author Nasser Ktech Maracaibo, Venezuela More articles by this author Luis Sanchez Maracaibo, Venezuela More articles by this author Eduardo Peña Maracaibo, Venezuela More articles by this author Ricardo Montiel Maracaibo, Venezuela More articles by this author Manuel Riveros Maracaibo, Venezuela More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...