Supine or prone position for mini-PNL procedure: does it matter

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• 作者：Zafer Tokatl? ; Mehmet Ilker Gokce ; Evren Süer ; Remzi Sa?lam
• 关键词：Mini ; PNL ; Supine position ; Prone position ; Stone free rate
• 刊名：Urological Research
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：43
• 期：3
• 页码：261-264
• 全文大小：365 KB
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• 作者单位：Zafer Tokatl? (1)
  Mehmet Ilker Gokce (2)
  Evren Süer (2)
  Remzi Sa?lam (3)
  
  1. Department of Urology, Doruk Hospital, Ankara, Turkey
  2. Department of Urology, Ankara University School of Medicine, Ankara, Turkey
  3. Department of Urology, Medicana International Hospital, Ankara, Turkey
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Urology and Andrology
  Nephrology
  Medical Biochemistry
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-0879

文摘

In this study it is aimed to compare the success and complication rates of mini-PNL procedure in supine and prone positions. In this retrospective study data of 180 patients treated with MPNL either in supine (n?=?54) or prone (n?=?126) positions between May 2009 and August 2014 was investigated. Success was defined as no visible stones >2?mm. Perioperative complications were classified using the modified Clavien system. Groups were compared with Chi square test or Student t test and for statistical significance p value of 0.05 was accepted. Mean age of the population was 42.5?±?8.2?years and mean stone size was 23.9?±?4.1?mm. The two groups were similar with regard to demographic characteristics and stone related characteristics except the ASA status. Success rates of the supine and prone groups were 85.1 and 87.3?%, respectively (p?=?0.701). No statistically significant differences in terms of complications were observed. Mean operative time was the only parameter different between the two groups (55 vs 82?min, p?=?0.001). Supine position for PNL seems to be promising and the complication and success rates are shown to be similar to the prone position with MPNL technique. The only significant benefit of this technique is shorter operative time.