Comparison of Surgical Outcome of Prone PCNL Vs Supine PCNL
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: Percutaneous nephrolithotomy (PCNL) in the prone position has been established approach, but it is associated with various anesthetic and logistic difficulties. In our study we aimed at comparing the surgical outcomes of PCNL in the traditional prone position with modified supine position. A total of 132 prospective patients planned for PCNL were included in this study of which 68 were performed in Galdakao modified supine Valdivia position and 64 were performed in prone position. The outcomes of stone free rate, stone size, operative time, length of stay (LOS), in hospital and complications were compared. Chi-square and t-tests were used. The mean stone size and LOS between the modified supine and prone groups were comparable. The supine group had a shorter mean surgical time (76 minutes vs. 88 minutes, p<0.001), and comparable stone free rate (92.6% vs. 93.7%, p>0.05). There were no differences in septic or bleeding complications. In our study, PCNL in the modified supine position gave an advantage of shorter surgical time with comparable stone free rates. It continues to be an effective alternative to the prone approach.
Authors and Affiliations
Sandeep Gupta, Siddharth Saraf, Dilip Kumar Pal
Keywords
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