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Supine percutaneous nephrolithotomy: pro.

Siavash Falahatkar1, Aliakbar Allahkhah, Soheil Soltanipour

  • 1Urology Research Center, Razi Hospital, Rasht, Iran.

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|November 18, 2011
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Summary
This summary is machine-generated.

Supine percutaneous nephrolithotomy (PCNL) is a feasible kidney stone treatment. This approach offers advantages like reduced operation time and improved patient tolerance, though it

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Percutaneous nephrolithotomy (PCNL) is a standard procedure for kidney stone removal.
  • The traditional flank position has limitations, prompting investigation into alternative patient positions.

Purpose of the Study:

  • To review the literature on supine percutaneous nephrolithotomy (PCNL).
  • To share global experiences with supine PCNL among urologists.

Main Methods:

  • Comprehensive literature search of PubMed/MEDLINE and Embase databases (1998-2010).
  • Inclusion of 17 English-language studies (11 case series, 6 comparative studies).
  • Analysis of data from 1914 patients undergoing supine PCNL.

Main Results:

  • Supine PCNL demonstrated significant reduction in mean operation time.
  • Advantages include less patient handling, single drape use, easier urethral/calyceal access, and facilitated stone fragment drainage.
  • Reduced kidney displacement, lower risk of colon injury, and improved tolerance for patients with cardiopulmonary disease or obesity were noted.
  • Supine positioning avoids vertebral overlap and allows for a more ergonomic surgeon position.

Conclusions:

  • Percutaneous nephrolithotomy (PCNL) in the supine position is a viable procedure.
  • Despite numerous benefits, supine PCNL is not yet widely adopted globally.
  • Wider implementation is anticipated with increased encouragement from academic centers.