Lehman T, Bagley D H
Department of Urology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania.
Urology. 1988 Dec;32(6):529-31. doi: 10.1016/s0090-4295(98)90035-8.
Occasionally there is need for nephroscopic and ureteroscopic access during the same surgical procedure. Patient positioning is problematic and usually the patient must be turned from supine to prone position or vice versa. Simultaneous access is possible by placing the patient in a prone position with the thighs and knees cradled laterally in a "boot" type stirrup. Thus access is afforded to a percutaneous nephrostomy tract and to the urethra for nephroscopic and ureteroscopic procedures, and at the same time adequate operator comfort is maintained. This approach has been used four times in 3 patients and has been a valuable factor in the endoscopic removal of massive renal and ureteral calculi.
偶尔在同一手术过程中需要进行肾镜和输尿管镜检查。患者体位是个问题，通常患者必须从仰卧位转为俯卧位，反之亦然。通过将患者置于俯卧位，大腿和膝盖侧向置于“靴”型马镫中，可以同时进行操作。这样就可以经皮肾造瘘通道和尿道进行肾镜和输尿管镜检查，同时保持操作者足够的舒适度。这种方法已在3例患者中使用了4次，是内镜下清除巨大肾和输尿管结石的一个重要因素。
