Percutaneous Nephrolithotomy in the Oblique Supine Lithotomy Position and Prone Position: A Comparative Study

2014 ◽  
Vol 28 (9) ◽  
pp. 1058-1063 ◽  
Author(s):  
Ahmad Aref Al-Dessoukey ◽  
Ayman Salah Moussa ◽  
Ahmed Mahmoud Abdelbary ◽  
Ahmed Zayed ◽  
Rabie Abdallah ◽  
...  
Keyword(s):  
Comparative Study ◽  
Prone Position ◽  
Percutaneous Nephrolithotomy ◽  
Lithotomy Position

Pediatric percutaneous nephrolithotomy in the oblique supine lithotomy position versus prone position

2016 ◽  
Vol 15 (6) ◽  
pp. 187
Author(s):  
R. Ibrahim ◽  
A. Al-Dessoukey ◽  
A. Gamal ◽  
A. Massoud ◽  
A. Moussa ◽  
...  
Keyword(s):  
Prone Position ◽  
Percutaneous Nephrolithotomy ◽  
Lithotomy Position

scholarly journals Comparative study of percutaneous nephrolithotomy performed in the traditional prone position and in three different supine positions

2019 ◽  
Vol 45 (1) ◽  
pp. 108-117 ◽  
Author(s):  
Petronio Augusto de Souza Melo ◽  
Fabio Carvalho Vicentini ◽  
Rodrigo Perrella ◽  
Claudio Bovolenta Murta ◽  
Joaquim Francisco de Almeida Claro
Keyword(s):  
Comparative Study ◽  
Prone Position ◽  
Percutaneous Nephrolithotomy

A Percutaneous Nephrolithotripsy Performed in the Oblique Supine Lithotomy Position: A Better Choice

2021 ◽  
pp. 155335062110418
Author(s):  
Runpei Deng ◽  
Xueyang Huang ◽  
Yonglin Xiao ◽  
Lei Meng ◽  
Jun Wang
Keyword(s):  
Blood Loss ◽  
Prone Position ◽  
Percutaneous Nephrolithotomy ◽  
Urinary Calculi ◽  
Operation Time ◽  
Control Group ◽  
Lithotomy Position ◽  
Clinical Indicators ◽  
Stone Free Rate ◽  
Free Rate

Objective. To investigate the efficacy and safety of the oblique supine lithotomy during percutaneous nephrolithotomy (PCNL) to treat upper urinary calculi. Methods. Clinical data were retrospectively analyzed for 371 patients with upper urinary calculi who underwent PCNL at The First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2017 to October 2020. Based on different positions, patients were divided into the observation group (oblique supine lithotomy position, 155 cases, Group 1) or control group (prone position, 216 cases, Group 2). Groups were compared for effectiveness, complications, bleeding, surgical time, clinical indicators, and hospitalization time. Results. There were no significant differences in the clinical baseline data between the two groups ( p > .05). However, the stone-free rate for patients was significantly higher in the observation than in the control group ( p < .05). Both operation time and hospital stay time were significantly lower in the observation versus the control groups ( p < .05). No significant differences were observed for complications or amount of blood loss ( p > .05). Conclusion. In patients with upper urinary calculi, percutaneous nephrolithotomy in the oblique supine lithotomy position has a higher stone-free rate than the prone position. This approach can shorten the operation and provide better comfort and quicker recovery to the patients. A further advantage is that there is no difference in safety and blood loss between the prone position and the oblique lithotomy position.

scholarly journals Ultrasonographic percutaneous nephrolithotomy, with or without ureteral catheter

2021 ◽  
Vol 11 (1) ◽  
pp. e7-e7
Author(s):  
Telma Zahirian Moghadam ◽  
Hamed Mohseni Rad ◽  
Ali Hossein Khani ◽  
Ahmad Ghazi
Keyword(s):  
Prone Position ◽  
Percutaneous Nephrolithotomy ◽  
Operation Time ◽  
Ureteral Stent ◽  
Lithotomy Position ◽  
Stent Group ◽  
Residual Stone ◽  
Needle Holder ◽  
Ureteral Catheter ◽  
Auxiliary Line

Introduction: Access by ultrasonography rather than fluoroscopy in addition to reducing radiation exposure to the patient and staff, is safe and effective. Access by ultrasonography is bi-planar and real-time compared to fluoroscopy, because it provides fewer side effects and more stone free rate. Objectives: To study the complications and outcome of PCNL (percutaneous nephrolithotomy) with or without using ureteral catheter. Patients and Methods: We studied 59 patients with at least 2 cm diameter of renal stone from January to December of 2018. After general anesthesia, 35 patients in the ureteral stent group were prepared in bladder lithotomy position. Then 5-French (Fr) ureteral catheters were introduced endoscopically in stone affected side and fixed to 16 Fr urethral Foley catheters in the patients. Other 24 patients in the non-stent group following anesthesia were directed to prone position instantly. In all of the patients, ultrasonography was performed in posterior auxiliary line below the ribs in prone position. Retrograde instillation of normal saline was performed through ureteral catheter in stent-group. Then we inserted 18G Chiba needle to desired calyx without needle holder guidance in all patients. Our approach according to probe was transverse. Results: Our patients comprised of 24 men and 35 women aged 24 to 66 years. Thirteen of them had no hydronephrosis and their stone sizes ranged from 21 mm to 65 mm. Patients in the ureteral stent group were more obese compared to the non-stent group (P=0.02) in addition to significantly more operation time (P=0.03). However hydronephrosis was not significantly different between groups (P=0.3). Postoperative residual stone rate, hospital stay days and complications (Fever, blood transfusion) were the same between both groups. Only urinary leak was more common in the non-stent group (P=0.04) Conclusion: Ultra-sonographic-PCNL without inserting ureteral catheter before surgery is conceivable especially in patients with lower body mass index (BMI). Advantages and complications are same in ureteral stent and non-stent patients except urinary leak that is more common in non-stent patients.

Ultrasonography-Guided Percutaneous Nephrolithotomy in the Flank Position Versus Fluoroscopy-Guided Percutaneous Nephrolithotomy in the Prone Position: A Comparative Study

2010 ◽  
Vol 24 (8) ◽  
pp. 1357-1361 ◽  
Author(s):  
Hossein Karami ◽  
Alireza Rezaei ◽  
Mojtaba Mohammadhosseini ◽  
Babak Javanmard ◽  
Mohsen Mazloomfard ◽  
...  
Keyword(s):  
Comparative Study ◽  
Prone Position ◽  
Percutaneous Nephrolithotomy

Safety of Upper Pole Puncture in Percutaneous Nephrolithotomy with the Guidance of Ultrasonography versus Fluoroscopy: A Comparative Study

2020 ◽  
Vol 104 (9-10) ◽  
pp. 769-774
Author(s):  
Ahmet Sahan ◽  
Alkan Cubuk ◽  
Orkunt Ozkaptan ◽  
Kasım Ertaş ◽  
Cengiz Canakci ◽  
...  
Keyword(s):  
Comparative Study ◽  
Percutaneous Nephrolithotomy
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