Acta Medica Okayama 74巻 2号
2020-04 発行
Yu, Zhikang
Department of Urology, Zhujiang Hospital, Southern Medical University
Lin, Wenfeng
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Xu, Abai
Department of Urology, Zhujiang Hospital, Southern Medical University
Liu, Chunxiao
Department of Urology, Zhujiang Hospital, Southern Medical University
Li, Hulin
Department of Urology, Zhujiang Hospital, Southern Medical University
Huang, Peng
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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.
percutaneous nephrolithotomy
local infiltration anesthesia
kneeling prone position
spinal deformity