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Patient positioning during percutaneous nephrolithotomy: what is the current best practice?
Panagiotis Mourmouris1, Marinos Berdempes1, Titos Markopoulos1
1Second Department of Urology, Athens Medical School, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, Greece, thodoros13@yahoo.com.
Research and Reports in Urology
|November 23, 2018
Summary
This study reviews kidney stone treatments, comparing prone and supine positions for percutaneous nephrolithotomy (PCNL). Evidence suggests positioning variations may help reduce complications associated with PCNL procedures.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Percutaneous nephrolithotomy (PCNL) is a primary treatment for large kidney stones.
- PCNL has the highest morbidity among kidney stone procedures.
- Minimizing PCNL complications is a key surgical goal.
Purpose of the Study:
- To review literature on PCNL positioning variations.
- To evaluate evidence for different PCNL positions.
- To identify if a specific position minimizes PCNL morbidity.
Main Methods:
- Literature review of PCNL positioning.
- Analysis of evidence on prone and supine PCNL.
- Comparative assessment of procedural variations.
Main Results:
- The study systematically reviewed existing literature.
- Evidence on various PCNL positions was collated and analyzed.
- Findings indicate potential benefits of positional variations.
Conclusions:
- Different positioning techniques in PCNL are explored.
- Further research may confirm optimal positioning for reduced morbidity.
- Optimizing PCNL position is crucial for patient outcomes.
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