Intravenous suppression in retrograde intrarenal surgery (RIRS) for staghorn calculus

Alexandros Fiamengos, Nikolaos Kostakopoulos, Andreas Karagiannis, Maria Zerva, Litsa Mosaikou, Ruth Roussou, Athanasios G. Papatsoris


We report a case of a 64 year old woman, extremely obese, treated with retrograde intrarenal surgery (RIRS) for a complete staghorn calculus under intravenous sedation. Due to severe commorbidities the patient could not undergo general or regional anesthesia. Laser lithotripsy was performed, resulting in clearance of the pelvic and middle pole stone burden.


Παρουσιάζουμε μια περίπτωση παχύσαρκης ασθενούς 64 ετών με πλήρη κοραλλιοειδή λιθίαση που αντιμετωπίστηκε με παλίνδρομη ενδονεφρική χειρουργική με ενδοφλέβια καταστολή. Η ασθενής λόγω συννοσηρότητας δε μπορούσε να υποβληθεί σε γενική ή περιοχική αναισθησία. Πραγματοποιήθηκε laser λιθοτριψία η οποία και είχε ως αποτέλεσμα την εξάλειψη του λιθιασικού φορτίου στη πύελο και τον άνω κάλυκα.


staghorn calculus; intrarenal surgery; sedation; κοραλλιοειδής λιθίαση, παλίνδρομη ενδονεφρική χειρουργική, ενδοφλέβια καταστολή

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