Incidence of posterolateral and retrorenal colon in supine and prone position in percutaneous nephrolithotomy.
Percutaneous nephrolithotomy
Posterolateral colon
Prone
Retrorenal colon
Supine
Journal
Urolithiasis
ISSN: 2194-7236
Titre abrégé: Urolithiasis
Pays: Germany
ID NLM: 101602699
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
18
10
2020
accepted:
04
05
2021
pubmed:
1
6
2021
medline:
18
1
2022
entrez:
31
5
2021
Statut:
ppublish
Résumé
Colon injury is a distressing complication during percutaneous nephrolithotomy (PCNL). Posterolateral colon (PLC) and retrorenal colon (RRC) are known to be the risk factors of colonic injury during PCNL. We evaluated the incidence of PLC and RRC in both supine and prone position of patients who underwent PCNL in our institution, and determined the risk factors of PLC and RRC through a review of computed tomography (CT) scan. To define PLC and RRC, we divided kidney into anterior, anterolateral, posterolateral and retrorenal zone by drawing three parallel lines in the CT scan. Among a total of 102 patients, PLC and RRC were identified in 16 (15.7%) cases in supine, and 25 (24.5%) cases in the prone position. PLC and RRC were most frequently present in the upper and lower pole of the left kidney in prone position compared to supine (p value less than 0.001). Risk factors of PLC and RRC in the prone position were old age (over 68), lower body mass index (BMI), and thinner perirenal fat layer. Therefore, an initial percutaneous puncture in PCNL needs to be carefully accessed to those patients with such high risks of colon injury.
Identifiants
pubmed: 34057536
doi: 10.1007/s00240-021-01272-4
pii: 10.1007/s00240-021-01272-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
585-590Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Öztürk H (2015) Treatment of colonic injury during percutaneous nephrolithotomy. Rev Urol 17:194–201
pubmed: 26543436
pmcid: 4633665
Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, de Santibañes E, Pekolj J, Slankamenac K, Bassi C, Graf R, Vonlanthen R, Padbury R, Cameron JL, Makuuchi M (2009) The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 250:187–196. https://doi.org/10.1097/SLA.0b013e3181b13ca2
doi: 10.1097/SLA.0b013e3181b13ca2
pubmed: 19638912
pmcid: 19638912
El-Nahas AR, Shokeir AA, El-Assmy AM, Shoma AM, Eraky I, El-Kenawy MR, El-Kappany HA (2006) Colonic perforation during percutaneous nephrolithotomy: study of risk factors. Urology 67:937–941. https://doi.org/10.1016/j.urology.2005.11.025
doi: 10.1016/j.urology.2005.11.025
pubmed: 16635515
Smith AD, Preminger G, Badlani GH, Kavoussi LR (2011) Smith’s textbook of endourology, 3rd edn. Wiley-Blackwell, Chichester
Skoog SJ, Reed MD, Gaudier FA Jr, Dunn NP (1985) The posterolateral and the retrorenal colon: implication in percutaneous stone extraction. J Urol 134:110–112. https://doi.org/10.1016/s0022-5347(17)47010-8
doi: 10.1016/s0022-5347(17)47010-8
pubmed: 4009801
Hopper KD, Sherman JL, Luethke JM, Ghaed N (1987) The retrorenal colon in the supine and prone patient. Radiology 162:443–446. https://doi.org/10.1148/radiology.162.2.3797658
doi: 10.1148/radiology.162.2.3797658
pubmed: 3797658
Balasar M, Kandemir A, Poyraz N, Unal Y, Ozturk A (2015) Incidence of retrorenal colon during percutaneous nephrolithotomy. Int Braz J Urol 41:274–278. https://doi.org/10.1590/S1677-5538.IBJU.2015.02.13
doi: 10.1590/S1677-5538.IBJU.2015.02.13
pubmed: 26005968
pmcid: 4752090
Atar M, Hatipoglu NK, Soylemez H, Penbegul N, Bozkurt Y, Gumus H, Sancaktutar AA, Kuday S, Bodakci MN (2013) Relationship between colon and kidney: a critical point for percutaneous procedures. Scand J Urol 47:122–125. https://doi.org/10.3109/00365599.2012.707685
doi: 10.3109/00365599.2012.707685
pubmed: 22839204
Prassopoulos P, Gourtsoyiannis N, Cavouras D, Pantelidis N (1990) A study of the variation of colonic positioning in the pararenal space as shown by computed tomography. Eur J Radiol 10:44–47. https://doi.org/10.1016/0720-048x(90)90086-q
doi: 10.1016/0720-048x(90)90086-q
pubmed: 2311605
Hikmet T, Nihat K, Fuat A, Ugur O, Levent S, Hamit E (2016) Necessity of preoperative computed tomography in percutaneous renal surgery. Int J Res Urol 2016:413365. https://doi.org/10.5171/2016.413365
doi: 10.5171/2016.413365
Krishna Reddy SV, Shaik AB (2015) Percutaneous nephrolithotomy and retro-renal colon: its incidence and complications. J Evol Med Dental Sci 4(82):14329–14334. https://doi.org/10.14260/jemds/2015/2038
doi: 10.14260/jemds/2015/2038
Opondo D, Tefekli A, Esen T, Labate G, Sangam K, De Lisa A, Shah H, de la Rosette J, CROES PCNL study group (2012) Impact of case volumes on the outcomes of percutaneous nephrolithotomy. Eur Urol 62:1181–1187. https://doi.org/10.1016/j.eururo.2012.03.010
doi: 10.1016/j.eururo.2012.03.010
pubmed: 22440402
Valdivia JG, Scarpa RM, Duvdevani M, Gross AJ, Nadler RB, Nutahara K, de la Rosette JJ, CROES PCNL study group (2011) Supine versus prone position during percutaneous nephrolithotomy: a report from the clinical research office of the endourological society percutaneous nephrolithotomy global study. J Endourol 25:1619–1625. https://doi.org/10.1089/end.2011.0110
doi: 10.1089/end.2011.0110
pubmed: 21877911
Sharma G, Jangid DK, Yadav SS, Mathur R, Tomar V (2015) Retro-renal colon: role in percutaneous access. Urolithiasis 43:171–175. https://doi.org/10.1007/s00240-014-0733-5
doi: 10.1007/s00240-014-0733-5
pubmed: 25344467
Marchini GS, Berto FCG, Vicentini FC, Shan CJ, Srougi M, Mazzucchi E (2015) Preoperative planning with noncontrast computed tomography in the prone and supine position for percutaneous nephrolithotomy: a practical overview. J Endourol 29:6–12. https://doi.org/10.1089/end.2014.0299
doi: 10.1089/end.2014.0299
pubmed: 25025863
Faure JP, Richer JP, Chansigaud JP, Scepi M, Irani J, Ferrie JC, Kamina P (2001) A prospective radiological anatomical study of the variations of the position of the colon in the left pararenal space. Surg Radiol Anat 23:335–339. https://doi.org/10.1007/s00276-001-0335-0
doi: 10.1007/s00276-001-0335-0
pubmed: 11824134
Lusch A, Fujimoto S, Findeiss LK, Okhunov Z, McDougall EM, Landman J (2016) Anthropometric renal anatomic alterations between supine and prone positions in percutaneous renal ablation for renal cortical neoplasms. J Endourol 30:165–169. https://doi.org/10.1089/end.2015.0373
doi: 10.1089/end.2015.0373
pubmed: 26414388
Tuttle DN, Yeh BM, Meng MV, Breiman RS, Stoller ML, Coakley FV (2005) Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT. J Vasc Interv Radiol 16:1489–1492. https://doi.org/10.1097/01.RVI.0000175331.93499.44
doi: 10.1097/01.RVI.0000175331.93499.44
pubmed: 16319155
Boon JM, Shinners B, Meiring JH (2001) Variations of the position of the colon as applied to percutaneous nephrostomy. Surg Radiol Anat 23:421–425. https://doi.org/10.1007/s00276-001-0421-3
doi: 10.1007/s00276-001-0421-3
pubmed: 11963625
Hadar H, Gadoth N (1984) Positional relations of colon and kidney determined by perirenal fat. AJR Am J Roentgenol 143:773–776. https://doi.org/10.2214/ajr.143.4.773
doi: 10.2214/ajr.143.4.773
pubmed: 6332483
Raptopoulos V, Kleinman PK, Marks S Jr, Snyder M, Silverman PM (1986) Renal fascial pathway: posterior extension of pancreatic effusions within the anterior pararenal space. Radiology 158:367–374. https://doi.org/10.1148/radiology.158.2.2417275
doi: 10.1148/radiology.158.2.2417275
pubmed: 2417275