Is supine percutaneous nephrolithotomy an alternative to prone percutaneous nephrolithotomy? Our experience at a tertiary care center
نویسندگان
چکیده
Background: Majority of urologists prefer the usual prone position for percutaneous nephrolithotomy (PCNL) but due to various disadvantages PCNL, several alternative positions are being used. Aims and Objectives: The aim study was compare surgical outcomes PCNL performed using supine with those in position. Materials Methods: This a prospective observational study. After applying inclusion criteria, 60 renal calculi patients were randomly assigned two groups, each 30 patients, all demographic, operative, post-operative characteristics recorded. Results: Out 38 (63%) male 22 (37%) female. mean age (in years) 45.03±17 while supine, it 51.7±15. Forty had mild, 12 moderate, eight gross hydronephrosis. Stone size (mm) ranged from 20 55 stone 22.5±8.8 23.9±13.5 PCNL. operative time (minutes) 65.1±27.2 68.7±16 (P=0.068). Complete clearance seen 26 (86%) versus 25 (83%) Five Grade 1–2 complications. There no serious complications either group. hospital stay (days) 3.53 3.63 (P=0.715). Conclusion: Supine is an effective safe procedure similar time, stone-free rate,
منابع مشابه
Supine percutaneous nephrolithotomy: pro.
PURPOSE To share the experience of the authors with the urological family in the world by the review of literature on supine percutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS We have searched all the available databases, including PubMed or MEDLINE and Embase Biomedical Database to find any English articles related to supine PCNL from 1998 to 2010. Of 17 studies, 11 were case series ...
متن کاملComplete supine tubeless percutaneous nephrolithotomy.
INTRODUCTION Although,percutaneousnephrolithotomy(PCNL)hasbeenusuallyperformedinthe pronepositionbutrecentlyotherpositionslikesupineandcompletesupinehave beenrecommendedbysomeendourologists.(1-8)Thepronepositionhasnumerous disadvantagesbutalotofpublisheddatahavedenotedsomeadvantagesofthesupinePCNL, including less patient handling, easier access to ...
متن کاملModified supine versus prone percutaneous nephrolithotomy: Surgical outcomes from a tertiary teaching hospital
PURPOSE The traditional prone positioning of percutaneous nephrolithotomy (PCNL) is associated with various anesthetic and logistic difficulties. We aimed to compare the surgical outcomes of PCNLs performed using our modified supine position with those performed in the standard prone position. MATERIALS AND METHODS A prospective group of 236 renal units (224 patients) undergoing PCNL were inc...
متن کاملFeasibility and Efficacy of Intermediate-Supine Percutaneous Nephrolithotomy: Initial Experience
We evaluated the feasibility and efficacy of intermediate-supine percutaneous nephrolithotomy (PCNL) in patients with renal calculi. Fifteen patients were included in this study. The intermediate-supine operative position was modified by using a 1-L saline bag below the ipsilateral upper flank. A nephrostomy and stone extraction were performed as usual. After completion of the stone removal, a ...
متن کامل[Percutaneous nephrolithotomy in supine decubitus. Valdivia's position].
OBJECTIVES The accidental puncture of the renal cavities and the performance of anterograde pyelogram by Goodwin in 1955 gave way to the beginning of modern endourology. The possibility to insert thick caliber catheters in the excretory system through the renal parenchyma had led to the current state of percutaneous surgery techniques in the treatment of urinary lithiasis. Percutaneous nephroli...
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ژورنال
عنوان ژورنال: Asian Journal of Medical Sciences
سال: 2022
ISSN: ['2091-0576']
DOI: https://doi.org/10.3126/ajms.v13i12.45934