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Case Reports
. 2020 Apr;74(2):175-178.
doi: 10.18926/AMO/58278.

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

Zhikang Yu  1   2 , Wenfeng Lin  1   2   3 , Abai Xu  1   2 , Chunxiao Liu  1   2 , Hulin Li  1   2 , Peng Huang  1   2   3
Affiliations
Free article
Case Reports

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

Zhikang Yu et al. Acta Med Okayama. 2020 Apr.
Free article

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.

Keywords: local infiltration anesthesia; kneeling prone position; percutaneous nephrolithotomy; spinal deformity.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

References

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