Which position is more advantageous for percutaneous nephrolithotomy: supine or prone?

Percutaneous nephrolithotomy (PNL) can be performed in a number of different positions. Our aim was to evaluate the convenience and advantages of the supine position following the transition from the prone to the supine position. 94 patients undergoing supine PNL (Group-1) and 93 patients undergoing...

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Bibliographic Details
Published in:Urolithiasis 2023-08, Vol.51 (1), p.102-102, Article 102
Main Authors: Kucukyangoz, Mustafa, Gucuk, Adnan
Format: Article
Language:English
Subjects:
Medical Biochemistry
Medicine
Medicine & Public Health
Nephrology
Urological surgery
Urology
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Summary:Percutaneous nephrolithotomy (PNL) can be performed in a number of different positions. Our aim was to evaluate the convenience and advantages of the supine position following the transition from the prone to the supine position. 94 patients undergoing supine PNL (Group-1) and 93 patients undergoing prone PNL (Group-2) were retrospectively reviewed and included in the study. Patients who underwent mini-PNL (mPNL) were selected from Group-1 and Group-2 and divided into Group-1A supine mPNL patients (77) and Group-2A prone mPNL patients (53). Demographic characteristics, operative data and post-operative parameters were compared between these groups. The operation time was 74.4 ± 21.9 min in Group-1A and 79.2 ± 19.8 min in Group-2A ( p  = 0.076). The median value of fluoroscopy time was 30 s in Group-1A and 40 s in Group-2A ( p  = 0.003). In Group-1A, 59 patients had no intraoperative double-J stent (DJS) insertion and 18 patients had DJS insertion, while in Group-2A, 24 patients had no DJS insertion and 29 patients had DJS insertion ( p  
ISSN:2194-7236
2194-7228
2194-7236
DOI:10.1007/s00240-023-01474-y