Your browser doesn't support javascript.
loading
Prone split-leg endoscopic-guided percutaneous nephrolithotomy: the surgeons perspective with A Gopro® view
Hospital das ClínicasBotelho, Yuri; Hospital das ClínicasMarchini, Giovanni Scala; Monga, Manoj; Hospital das ClínicasTorricelli, Fabio C.; Hospital das ClínicasDanilovic, Alexandre; Hospital das ClínicasVicentini, Fabio C.; Hospital das ClínicasBatagello, Carlos A.; Hospital das ClínicasSrougi, Miguel; Hospital das ClínicasNahas, William C.; Hospital das ClínicasMazzucchi, Eduardo.
  • Hospital das ClínicasBotelho, Yuri; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasBotelho, Yuri. São Paulo. BR
  • Hospital das ClínicasMarchini, Giovanni Scala; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasMarchini, Giovanni Scala. São Paulo. BR
  • Monga, Manoj; University of California. Diego. US
  • Hospital das ClínicasTorricelli, Fabio C.; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasTorricelli, Fabio C.. São Paulo. BR
  • Hospital das ClínicasDanilovic, Alexandre; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasDanilovic, Alexandre. São Paulo. BR
  • Hospital das ClínicasVicentini, Fabio C.; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasVicentini, Fabio C.. São Paulo. BR
  • Hospital das ClínicasBatagello, Carlos A.; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasBatagello, Carlos A.. São Paulo. BR
  • Hospital das ClínicasSrougi, Miguel; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasSrougi, Miguel. São Paulo. BR
  • Hospital das ClínicasNahas, William C.; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasNahas, William C.. São Paulo. BR
  • Hospital das ClínicasMazzucchi, Eduardo; Universidade de São Paulo. Faculdade de Medicina. Hospital das ClínicasMazzucchi, Eduardo. São Paulo. BR
Int. braz. j. urol ; 47(3): 680-681, May-June 2021.
Article in English | LILACS-Express | LILACS | ID: biblio-1154513
ABSTRACT
ABSTRACT

Introduction:

To demonstrate the entire surgeon's point of view of a prone split-leg (PSL) endoscopic guided percutaneous nephrolithotomy (ePCNL) recorded with a GoPro® camera for standardization of the essential technical steps towards a successful procedure (1). Materials and

methods:

A 40y.o female patient presented with right flank pain for three years. She had previously been submitted to shock wave lithotripsy without success. Non-contrast computed tomography (NCCT) revealed a 2cm stone in the renal pelvis with 1400HU and stone-to-skin distance of 11cm (Guy's Stone Score 1). PCNL approach was chosen for providing higher chances of stone-free after a single procedure. Informed consent was obtained. The PSL ePCNL was uneventful with a single access in a mid-pole. The surgeon had a Full HD GoPro Hero 4® camera mounted on his head, controlled by the surgical staff with a remote control. All essential surgical steps were recorded.

Results:

Operative time was 90 minutes. Hemoglobin drop was 0.7g/dL. The post-operative NCCT scan was stone-free. The patient was discharged 24h after surgery. Kidney stent was left with a string and removed after 5days. The camera worked properly and didn't cause any kind of discomfort to the surgeon. The quality of the recorded movie was excellent.

Conclusion:

By recording the surgeon's perspective of an endoscopic urological procedure, we were able to provide a comprehensive understanding of the surgical technique by assembling the endoscopic, fluoroscopic, and operative field views. The GoPro® camera proved to be an interesting tool to document surgical procedures without compromising outcomes and has great potential for educational purposes.

Full text: Available Index: LILACS (Americas) Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2021 Type: Article Affiliation country: Brazil / United States Institution/Affiliation country: Universidade de São Paulo/BR / University of California/US

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2021 Type: Article Affiliation country: Brazil / United States Institution/Affiliation country: Universidade de São Paulo/BR / University of California/US