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Article ; Online: Supine versus prone percutaneous nephrolithotomy in management of patient with complex renal stone diseases.

Maiti, Krishnendu / Khare, Kani Dayal / Pal, Dilip Kumar

Urologia

2024  , Page(s) 3915603241229801

Abstract: Objectives: Compare the surgical outcomes, safety, stone free rate, hospital stay, and complication of prone and supine PCNL in case of complex renal stone.: Materials and methods: This is an observational study conducted in our institute, it consist ...

Abstract Objectives: Compare the surgical outcomes, safety, stone free rate, hospital stay, and complication of prone and supine PCNL in case of complex renal stone.
Materials and methods: This is an observational study conducted in our institute, it consist of 120 patients over the period of 2 years from July 2021 to June 2023, all the patients were divided into two groups: 60 patients underwent modified supine percutaneous nephrolithotomy (PCNL) and remaining 60 patients underwent standard prone PCNL. The measured data included operative time, number of punctures, blood loss, stone-free rate, length of hospital stays, and rate of complications.
Results: The two groups were comparable in mean age, male to female ratio, number of punctures, number of tract, size of tract, residual calculi in follow up period, blood transfusion, re-do surgery, chest complication, hospital stay, and postoperative fever and pain. The mean operating time was 1.59 h in supine PCNL and 2.49 h in prone PCNL. The
Conclusions: By this study we observed that the supine PCNL is associated with statistically significant reduced operating time as compared to conventional prone PCNL with advantages of not putting the patient in prone position. The postoperative complications such as pain and fever were not significant when compared in both groups. We conclude our study and found that, the supine PCNL is an equally effective in treating complex renal stone as compared to prone PCNL.
Language English
Publishing date 2024-03-18
Publishing country United States
Document type Journal Article
ZDB-ID 204043-8
ISSN 1724-6075 ; 0376-0057 ; 0391-5603
ISSN (online) 1724-6075
ISSN 0376-0057 ; 0391-5603
DOI 10.1177/03915603241229801
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