The adoption of supine position in percutaneous nephrolithotomy and the routine use of echography during the procedure allow for a reduction of surgical time, radiological exposure of patient and surgeons, and of anaesthesiological risks; moreover, it permits a combined anterograde-retrograde approach to the kidney in case of very complex lithiasis.
The urologist's knowledge and experience of echography devices allows for a high lowering of the learning curve time.
Valdivia UriaJ.G., Valle GerholdJ., Lopez LopezJ.A.Technique and complications of percutaneous nephroscopy: experience with 557 patients in the supine position.J Urol1998; 160(6 pt I): 1975–8.
2.
ShomaA.M., ErakyI., El- KenawyM.R., EI-KappanyH.A.. Percutaneous nephrolitotomy in the supine position: technical aspects and functional outcome compared with the prone technique.Urology2002; 60: 338–92.
3.
SkolarikosA., AlivizatosG., de la RosetteJJMCH. Percutaneous nephrolitotomy and its legacy.Eur Urol2005; 47: 22–8.
4.
LandmanJ., VenkateshR., LeeD.I., RehmanJ., RagabM., DaecyM., SurdaramC.P.. Combined percutaneous and retrograde approach to staghorn calculi with application of ureteral access sheath to facilitate percutaneous nephrolitotomy.J Urol2003; 169: 64–7.
CamargoI., IbarluzeaG., GamarraM.Percutaneous nephrolitotomy in the supine position.Eur Urol2006; 5. 349 (abstract).
7.
ScoffoneC., CraccoC., TerroneC.. Decubito supino secondo Valdivia associato a posizione litotomica modificata in corso di procedure endourologiche complesse: vantaggi urologici ed anestesiologici.Arc Ital Urol2006: 78, 1, Suppl 1: S13–4.