A specıal condıtıon for the posıtıon of pnl: megacolon
Year 2020,
, 445 - 448, 14.05.2020
Cihan Toktaş
,
Ali Ersin Zümrütbaş
,
Yusuf Özlülerden
,
Aykut Başer
,
Ömer Levent Tuncay
Abstract
Percutaneous stone surgery has lots of
advantages but it is not a complication free surgery, one of these is colonic
injury. In this report we presented a-56 year old male patient with mobile
kidney. Because of mobile kidney we could not perform prone percutaneous
nephrolithotomy. Supine tomography may be necessary for such patients. Also
tract creation may be performed by tomography and supine percutaneous
nephrolithotomy should be considered.
References
- Kaynaklar
1. Tefekli A, Cezayirli F. The history of urinary stones: in parallel with civilization Scientific World J 2013;423964.
- 2. Matlaga BR, Assimos DG. Changing indications of open stone surgery. Urology 2002;59:490-493.
- 3. Boon JM, Shinners B, Meiring JH.Variations of the position of the colon as applied to percutaneous nephrostomy. Surg Radiol Anat 2001;23:421-425.
- 4. Seitz C, Desai M, Hacker A, et al. Incidence ,prevention and management . complications following percutaneous nephrolitholapaxy Urol 2012;61:146-158.
- 5. Michel MS, Trojan L, Rasswiler JJ. Complicaitons in percutaneous nephrolithotomy. Eur Urol 2007;51:899906.
- 6. Juan YS, Huang CH, Chuang SM, et al. Colon perforation:a rare complicaiton during percutaneous nephrolithotomy. Kaohsiung J Med Sci 2006;22:99-101.
- 7. El-Nahas AR, Shokeir AA, El-Assmy AM, et al. Colonic perforation during percutaneous nephrolithotomy: study of risk factors. Urology 2006;67:937-941.
- 8-Gökce Mİ, Gülpınar Ö, Akpınar Ç et al. Description of a novel method for renal puncture in supine percutaneous nephrolithotomy and comparison with a previously described method. Turk J Urol. 2019 1;45(6):444-448.
- 9-Ozdemir H, Erbin A, Sahan M et al. Comparison of supine and prone miniaturized percutaneous nephrolithotomy in the treatment of lower pole, middle pole and renal pelvic stones: A matched pair analysis. Int Braz J Urol. 2019;45(5):956-964. doi: 10.1590/S1677-5538.IBJU.2019.0049.
- 10-Patel RM, Okhunov Z, Clayman RV, Landman J. Prone versus supine percutaneous nephrolithotomy: What Is Your Position? Curr Urol Rep. 2017;18(4):26. doi: 10.1007/s11934-017-0676-9.
Perkütan nefrolitotomi pozisyonu tercihinde dikkat edilmesi gereken özel bir durum: megakolon.
Year 2020,
, 445 - 448, 14.05.2020
Cihan Toktaş
,
Ali Ersin Zümrütbaş
,
Yusuf Özlülerden
,
Aykut Başer
,
Ömer Levent Tuncay
Abstract
Perkutan böbrek taşı cerrahisi birçok avantajı olmasın rağmen komplikasyonsuz bir cerrahi değildir. Bu komplikasyonlardan bir tanesi de kolon yaralanmasıdır. Bu yaralanmaya neden olan en önemli durum retrorenal kolondur. Cerrahi öncesi dönemde renal komşulukların tam olarak belirlenmesi özellikle de retrorenal kolon varlığının belirlenmesi için bilgisayarlı tomografi görüntülemesi rutin olarak uygulanmalıdır. Fakat bu vakada olduğu gibi hastalara görüntüleme yapılan posizyonla cerrahi esnasında kullanılacak olan yöntemin aynı olması yani pron PCNL planlanan hastaların görüntülemelerinin de pron pozisyonda yapılması gerekebilmektedir. Bu vakada olduğu gibi mobil böbrek durumlarında tomografi eşliğinde akses oluşturulması veya supin PCNL seçeneği de göz önünde bulundurulmalıdır.
References
- Kaynaklar
1. Tefekli A, Cezayirli F. The history of urinary stones: in parallel with civilization Scientific World J 2013;423964.
- 2. Matlaga BR, Assimos DG. Changing indications of open stone surgery. Urology 2002;59:490-493.
- 3. Boon JM, Shinners B, Meiring JH.Variations of the position of the colon as applied to percutaneous nephrostomy. Surg Radiol Anat 2001;23:421-425.
- 4. Seitz C, Desai M, Hacker A, et al. Incidence ,prevention and management . complications following percutaneous nephrolitholapaxy Urol 2012;61:146-158.
- 5. Michel MS, Trojan L, Rasswiler JJ. Complicaitons in percutaneous nephrolithotomy. Eur Urol 2007;51:899906.
- 6. Juan YS, Huang CH, Chuang SM, et al. Colon perforation:a rare complicaiton during percutaneous nephrolithotomy. Kaohsiung J Med Sci 2006;22:99-101.
- 7. El-Nahas AR, Shokeir AA, El-Assmy AM, et al. Colonic perforation during percutaneous nephrolithotomy: study of risk factors. Urology 2006;67:937-941.
- 8-Gökce Mİ, Gülpınar Ö, Akpınar Ç et al. Description of a novel method for renal puncture in supine percutaneous nephrolithotomy and comparison with a previously described method. Turk J Urol. 2019 1;45(6):444-448.
- 9-Ozdemir H, Erbin A, Sahan M et al. Comparison of supine and prone miniaturized percutaneous nephrolithotomy in the treatment of lower pole, middle pole and renal pelvic stones: A matched pair analysis. Int Braz J Urol. 2019;45(5):956-964. doi: 10.1590/S1677-5538.IBJU.2019.0049.
- 10-Patel RM, Okhunov Z, Clayman RV, Landman J. Prone versus supine percutaneous nephrolithotomy: What Is Your Position? Curr Urol Rep. 2017;18(4):26. doi: 10.1007/s11934-017-0676-9.