V11-08: Complete Supine Percutaneous Nephrolithotomy from the Surgeon&[prime]s Point of View with a GoPro®. Ten Steps for Success.
To show a video of a complete supine Percutaneous Nephrolithotomy (csPNL) performed for the treatment of a kidney stone, from the surgeon&[prime]s point of view. The procedure was recorded with a GoPro® camera placed on the surgeon&[prime]s forehead, didactically demonstrating the 10 essential steps for a successful procedure.
The patient was a 38 years-old female patient with 2.4 cm of left kidney lower pole stone burden who presented with 3 months of lumbar pain and recurrent urinary tract infections. She had a previous diagnosis of polycystic kidney disease and chronic renal failure stage 2. CT scan showed two 1.2 cm stones in the lower pole (Guy&[prime]s Stone Score 2). She had a previous ipsilateral double J insertion due to an obstructive pyelonephritis. The surgeon had a Full HD GoPro Hero 4 Session® camera mounted on his forehead, controlled by the surgical team with a remote control. All of the mains steps were recorded, as well the cystoscopic, nephroscopic and fluoroscopic images. Informed consent was obtained prior to the procedure.
The csPCNL was uneventful with a single access in the lower pole. The surgical time was 90 minutes. Hemoglobin drop was 0.5g/dL and creatinine levels rose from 1.8mg/dL to 1.9mg/dL. A post-operative CT scan was stone-free. The patient was discharged 36 hours after surgery. The camera worked properly and didn&[prime]t cause pain or muscle discomfort to the surgeon. The quality of the recorded movie was excellent
GoPro 4 Session® camera proved to be a very interesting tool to document surgeries without interfering with the procedure and with great educational potential. More studies should be conducted to evaluate the role of this equipment in the operative room.