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03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
[Learning of percutaneous nephrolithotomy in supine position. An observational multicenter study]
J H Amón1, D Pérez Fentes, L Resel
1Hospital Universitario, Río Hortega, Valladolid, España. amonsesmero@gmail.com
Actas Urologicas Espanolas
|January 15, 2013
Summary
Percutaneous nephrolithotomy (PNL) in the supine position demonstrates effectiveness and safety comparable to the prone position for kidney stone removal. Experience significantly reduces operative time and major complications, indicating a manageable learning curve for this procedure.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrolithiasis Management
Context:
- Percutaneous nephrolithotomy (PNL) is a key procedure for kidney stone treatment.
- The supine position for PNL offers potential advantages in patient positioning and accessibility.
- Comparative data on PNL in the supine versus prone position is crucial for surgical practice.
Purpose:
- To prospectively evaluate the outcomes and complications of PNL performed in the supine position.
- To assess the learning curve and the impact of surgical experience on PNL results in the supine position.
- To compare supine PNL outcomes with existing literature data for prone PNL.
Summary:
- A multicenter study analyzed 335 supine PNL cases, comparing experienced (>50 cases) and novice urologists.
- Success rates (69.6% stone-free) and overall complication rates (25.4%) were similar between groups.
- Experienced urologists had shorter operative times (106.6 vs. 124.9 min) and fewer major complications.
Impact:
- Supine PNL is gaining traction, showing efficacy and safety comparable to prone PNL.
- The procedure has a modest learning curve, with outcomes improving with experience.
- Increased surgical experience is associated with a reduction in major complications, enhancing patient safety.
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