An Observational Pilot Study on Supine Percutaneous Nephrolithotomy: Initial Experience at a Single-Centre

Area of Science:

• Urology
• Nephrology
• Surgical Outcomes

Background:

• Percutaneous nephrolithotomy (PCNL) is a key procedure for kidney stone removal.
• Assessing PCNL outcomes in patients with comorbidities is crucial for surgical planning.

Purpose of the Study:

• To evaluate the surgical outcomes of supine percutaneous nephrolithotomy (PCNL) in patients presenting with various comorbidities.
• To determine the efficacy and safety of supine PCNL in a high-risk patient cohort.

Main Methods:

• A retrospective review of 15 patients who underwent supine PCNL between September 2019 and May 2021.
• Data collection included patient demographics, comorbidities, stone complexity, and surgical outcomes (clearance, complications).

Main Results:

• Complete stone clearance was achieved in 86.7% of patients; 13.3% had >80% clearance.
• 93.3% of patients experienced no perioperative complications; one patient had mild abdominal distension (Clavien-Dindo grade 1).
• No organ injuries or blood transfusions were required post-procedure.

Conclusions:

• Supine PCNL is a viable and safe surgical approach for managing kidney stones in patients with comorbidities.
• The procedure is associated with high stone clearance rates and a low incidence of complications, even in high-risk individuals.