Daycare, Tubeless, Supine Percutaneous Nephrolithotomy under Spinal Anesthesia for Large Stone in a Patient with Multiple Comorbidities

Authors: Alnawsara H , Tallai B , Gul T , Alrayashi M , Alfalahi S , Kamkoum H , Abdelkareem M , Ebrahim MA , Ahmed N , Al-Rubayi A , Ismail A , Kunju U , Othman F , Alnadhari I , Aboumarzouk O and Alansari A

DOI: 10.23880/oajun-16000193

Volume 6, Issue 2

Abstract

Daycare PCNL was first reported in 1986. However due to the major concern regarding patient safety, it was not widely adopted as a routine procedure. A 63-year-old male with multiple comorbidities underwent right-sided tubeless, supine positioned, daycare percutaneous nephrolithotomy while under spinal anesthesia, due to partially staghorn stone. The patient was discharged in the 9th post-operative hour with no complications. Daycare PCNL is a safe and effective procedure in selected patients and may have a role in patients with a larger stone burdens and ASA III patients.

Keywords: Daycare PCNL; Supine PCNL; Tubeless PCNL; PCNL under Spinal Anesthesia; Daycare PCNL with Comorbidities

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