Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Sep;8(Suppl 4):S381-S388.
doi: 10.21037/tau.2019.07.09.

Supine percutaneous nephrolithotomy: tips and tricks

Silvia Proietti  1 , Moises Elias Rodríguez-Socarrás  1 , Brian Eisner  2 , Vincent De Coninck  1 , Mario Sofer  3 , Giuseppe Saitta  1 , Maria Rodriguez-Monsalve  1 , Carlo D'Orta  1 , Piera Bellinzoni  1 , Franco Gaboardi  1 , Guido Giusti  1
Affiliations
Review

Supine percutaneous nephrolithotomy: tips and tricks

Silvia Proietti et al. Transl Androl Urol. 2019 Sep.

Abstract

This paper aims to give an exhaustive overview of supine percutaneous nephrolithotomy (PCNL) illustrating some tips and tricks in order to optimize its execution in full safety. Critical review of Pros and cons of supine PCNL is accomplished to allow the urologist to experience the beauty of this position while being ready to overcome its minimal shortcomings.

Keywords: Percutaneous nephrolithotomy (PCNL); endourology; stone; supine.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: G Giusti: consultant for Coloplast, Rocamed, Olympus, Lumenis, Boston Scientific, BD-Bard, Cook Medical, Quanta System; S Proietti: consultant for Quanta System; B Eisner: consultant for Boston Scientific, Olympus, Kalera Medical, Sonomotion. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Valdivia’s position.
Figure 2
Figure 2
Giusti’s position.
Figure 3
Figure 3
Obese patient positioned for performing supine PCNL. PCNL, percutaneous nephrolithotomy.
Figure 4
Figure 4
Upper calyx approachability through the lower calyx in supine PCNL. PCNL, percutaneous nephrolithotomy.
Figure 5
Figure 5
Hypermobility of the kidney in supine PCNL. PCNL, percutaneous nephrolithotomy.
Figure 6
Figure 6
Image with the C-arm in the cross-table position to mark the skin entry site for a puncture parallel to the floor. Once the skin site is marked, the C-arm is returned to the 0° position and the puncture is performed.
See this image and copyright information in PMC

References

    1. Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol 1976;10:257-9. 10.1080/21681805.1976.11882084 - DOI - PubMed
    1. Valdivia Uría JG, Lachares Santamaría E, Villarroya Rodríguez S, et al. Percutaneous nephrolithectomy: simplified technic (preliminary report). Arch Esp Urol 1987;40:177-80. - PubMed
    1. Valdivia JG, Valer J, Villarroya S. Why is Percutaneous Nephroscopy Still Performed with the Patient Prone?* J Endourol 1990;4:269-77. 10.1089/end.1990.4.269 - DOI
    1. Hopper KD, Sherman JL, Luethke JM, et al. The retrorenal colon in the supine and prone patient. Radiology 1987;162:443-6. 10.1148/radiology.162.2.3797658 - DOI - PubMed
    1. Valdivia JG, Scarpa RM, Duvdevani M, et al. Supine versus prone position during percutaneous nephrolithotomy: a report from the clinical research office of the endourological society percutaneous nephrolithotomy global study. J Endourol 2011;25:1619-25. 10.1089/end.2011.0110 - DOI - PubMed