Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience

Objectives: To assess the outcomes of performing percutaneous nephrolithotomy (PCNL) in a modified supine position, more feasible for surgeons, anaesthetists, and operating theatre staff, as well as for the patient himself, and evaluating it in comparison to the standard prone position. Patient and...

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Autores principales:	Nadeem Sohail, Amjad Albodour, Khalid Mohammed Abdelrahman
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Renal stone Percutaneous nephrolithotomy Supine position Prone position Tubeless PCNL Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/c442defc26034758b52e67ea279de81b
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spelling	oai:doaj.org-article:c442defc26034758b52e67ea279de81b2021-12-02T10:15:12ZPercutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience2090-598X10.1016/j.aju.2016.10.001https://doaj.org/article/c442defc26034758b52e67ea279de81b2017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X16300730https://doaj.org/toc/2090-598XObjectives: To assess the outcomes of performing percutaneous nephrolithotomy (PCNL) in a modified supine position, more feasible for surgeons, anaesthetists, and operating theatre staff, as well as for the patient himself, and evaluating it in comparison to the standard prone position. Patient and methods: A retrospective, case-control study was conducted between January 2011 and December 2015. In all, 197 patient’s records were reviewed. The initial 101 patients were operated upon in prone position. From mid-2013, 96 patients were operated upon in a complete supine, flank-free position. The groups were compared in terms of operation time, calculated from positioning the patient after anaesthesia induction, insertion of ureteric catheter, puncture of renal system, until the end of procedure; stone-free rate; hospital stay; and postoperative complications, such as transfusion rate, fever, and urinary leakage. Results: There were two significant differences between the groups. Firstly, the operation time was a mean (SD) 32.3 (6.6) min shorter for the supine versus the prone position (P < 0.001). Secondly, hospital stay was a mean (SD) 1.2 (0.75) days shorter for the supine vs the prone position (P < 0.001). The complete stone clearance rate (85.4% for supine vs 79.2% for prone; P = 0.2) and postoperative complications (7.3% for supine vs 17.8% for prone; P = 0.02) were comparable in both groups. Conclusion: Supine PCNL is a feasible procedure with similar outcomes in terms of stone-free rate as well as postoperative complications, to the standard prone PCNL. It reduces unnecessary delay that occurs during change of position resulting in significant shortening of the total operation time and surgeons can perform supine PCNL whilst sitting.Nadeem SohailAmjad AlbodourKhalid Mohammed AbdelrahmanTaylor & Francis GrouparticleRenal stonePercutaneous nephrolithotomySupine positionProne positionTubeless PCNLDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 42-47 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Renal stone Percutaneous nephrolithotomy Supine position Prone position Tubeless PCNL Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Renal stone Percutaneous nephrolithotomy Supine position Prone position Tubeless PCNL Diseases of the genitourinary system. Urology RC870-923 Nadeem Sohail Amjad Albodour Khalid Mohammed Abdelrahman Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
description	Objectives: To assess the outcomes of performing percutaneous nephrolithotomy (PCNL) in a modified supine position, more feasible for surgeons, anaesthetists, and operating theatre staff, as well as for the patient himself, and evaluating it in comparison to the standard prone position. Patient and methods: A retrospective, case-control study was conducted between January 2011 and December 2015. In all, 197 patient’s records were reviewed. The initial 101 patients were operated upon in prone position. From mid-2013, 96 patients were operated upon in a complete supine, flank-free position. The groups were compared in terms of operation time, calculated from positioning the patient after anaesthesia induction, insertion of ureteric catheter, puncture of renal system, until the end of procedure; stone-free rate; hospital stay; and postoperative complications, such as transfusion rate, fever, and urinary leakage. Results: There were two significant differences between the groups. Firstly, the operation time was a mean (SD) 32.3 (6.6) min shorter for the supine versus the prone position (P < 0.001). Secondly, hospital stay was a mean (SD) 1.2 (0.75) days shorter for the supine vs the prone position (P < 0.001). The complete stone clearance rate (85.4% for supine vs 79.2% for prone; P = 0.2) and postoperative complications (7.3% for supine vs 17.8% for prone; P = 0.02) were comparable in both groups. Conclusion: Supine PCNL is a feasible procedure with similar outcomes in terms of stone-free rate as well as postoperative complications, to the standard prone PCNL. It reduces unnecessary delay that occurs during change of position resulting in significant shortening of the total operation time and surgeons can perform supine PCNL whilst sitting.
format	article
author	Nadeem Sohail Amjad Albodour Khalid Mohammed Abdelrahman
author_facet	Nadeem Sohail Amjad Albodour Khalid Mohammed Abdelrahman
author_sort	Nadeem Sohail
title	Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
title_short	Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
title_full	Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
title_fullStr	Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
title_full_unstemmed	Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
title_sort	percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: a single-centre experience
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/c442defc26034758b52e67ea279de81b
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Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience

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