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Supine and Supine Modified PNL in Special Situations

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Supine Percutaneous Nephrolithotomy and ECIRS

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Abstract

PNL is a safe and effective procedure not only in a standard patient (adult with normal body mass index (BMI) and body habitus, no renal malformations, first procedure for urolithiasis, no previous renal or abdominal surgery, normal anaesthesiological risk) but also in a variety of particular situations regarding the patient’s physical and clinical features. The only exception is pregnancy; in fact, although anecdotical cases performed during early pregnancy have been reported, PNL regardless to patient positioning is not advised in this case and should be delayed till after delivery. Elderly, obese, and high-risk patients, children, patients with skeletal malformations or urinary anomalies, previous surgery, and urinary diversions may greatly benefit from PNL in the supine position, which may even be obliged in ectopic pelvic or transplanted kidneys. Of course, not all musculoskeletal deformities can be easily arranged in the supine position, and bilateral procedures or certain renal stones in calyceal diverticula of the superior district might rather benefit from the prone position.

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Author information

Authors and Affiliations

  1. Department of Urology, Cottolengo Hospital, Via Cottolengo 9, 10152, Torino, Italy

    Cecilia Maria Cracco MD, PhD & Cesare Marco Scoffone MD

  2. Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, 387001, India

    Arvind P. Ganpule, Amit Doshi & Mahesh R. Desai

Authors
  1. Cecilia Maria Cracco MD, PhD
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  2. Cesare Marco Scoffone MD
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  3. Arvind P. Ganpule
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  4. Amit Doshi
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  5. Mahesh R. Desai
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Corresponding author

Correspondence to Cecilia Maria Cracco MD, PhD .

Editor information

Editors and Affiliations

  1. Dept. Of Urology, Cottolengo Hospital, Torino, Italy

    Cesare Marco Scoffone

  2. Service d’Urologie, CHU Henri Mondor, Créteil cedex, France

    András Hoznek

  3. Cottolengo Hospital, Torino, Italy

    Cecilia Maria Cracco

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Cracco, C.M., Scoffone, C.M., Ganpule, A.P., Doshi, A., Desai, M.R. (2014). Supine and Supine Modified PNL in Special Situations. In: Scoffone, C., Hoznek, A., Cracco, C. (eds) Supine Percutaneous Nephrolithotomy and ECIRS. Springer, Paris. https://doi.org/10.1007/978-2-8178-0459-0_16

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  • DOI: https://doi.org/10.1007/978-2-8178-0459-0_16

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  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0359-3

  • Online ISBN: 978-2-8178-0459-0

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