A study on comparative outcomes of totally ultrasonography-guided percutaneous nephrolithotomy in prone versus flank position: a randomized clinical trial

Radfar, Mohammad Hadi; Nasiri, Maryam; Shemshaki, Hamidreza; Sedaghat, Reza; Dadpour, Mehdi

doi:10.1007/s00345-021-03744-z

Cited by 10 publications

(3 citation statements)

References 17 publications

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“…One publication used a mix of fluoroscopy and ultrasound for guidance 31 , while five other papers reported using ultrasound guidance alone or in conjunction with fluoroscopy for PCNL operations 19 , 22 , 23 , 26 , 30 . With the exception of the study conducted by Desoky E 22 , the research participants were adults with a BMI above the healthy range of 24.…”

Section: Resultsmentioning

confidence: 99%

Comparison of safety and efficacy of different positions in percutaneous nephrolithotomy: a network meta-analysis

Li,

Ma,

Liao

et al. 2024

International Journal of Surgery

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Objectives: Various new positions for percutaneous nephrolithotomy (PCNL) were proposed to reduce the limitations of the traditional position. This study was aimed to evaluate the efficacy and safety of the different PCNL positions. Methods: PubMed, Embase, Web of Science, and the Cochrane Library were searched for relevant randomized controlled trials (RCTs) up to April 18, 2023. We collected five common surgical positions used for PCNL: oblique supine position (OSP), supine position (SP), flank position (FP), split-leg oblique supine/flank position (SLP), and prone position (PP). Paired and network meta-analysis were conducted to compare relevant outcomes, including complications, operative time, stone free rates, hospital stay and hemoglobin loss among these different positions. Results: The study included 17 RCTs with a total of 1841 patients. The result demonstrated that SLP significantly outperformed in terms of decreasing operation time (FP vs SLP MD- MD-41.65; OSP vs SLP MD 28.97; PP vs SLP MD 34.94), hospital stay, and hemoglobin loss. Ranking probabilities showed SLP had highest stone-free rate. Prone position was more likely to occur complications than others. Based on SMAA model, the benefit-risk analysis suggested the SLP was the optimal position in PCNL. Conclusions: For PCNL, the split-leg, flank, supine, and oblique supine positions are as secure as the prone position. Further RCTs are necessary to confirm the outstanding safety and efficacy of split-leg position. Besides, the position should be selected regard for the patient’s demands, the surgeon’s preference and learning curve.

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Section: Resultsmentioning

confidence: 99%

Comparison of safety and efficacy of different positions in percutaneous nephrolithotomy: a network meta-analysis

Li,

Ma,

Liao

et al. 2024

International Journal of Surgery

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“…Overall, 8 articles [11][12][13][14][15][16][17][18] (5 randomized controlled trials [11,13,[16][17][18] and 3 retrospective studies [12,14,15]) were included for further study, including 1185 patients (OSP = 634, PP = 551), as shown in Figure 2. The basic characteristics and quality assessment of included studies are summarized in Table I.…”

Section: Resultsmentioning

confidence: 99%

Oblique supine position versus prone position for percutaneous nephrolithotomy: a systematic review and meta-analysis.

Wang¹,

Zhan²,

Chang³

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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Introduction: To compare the efficacy and safety of percutaneous nephrolithotomy (PCNL) in the oblique supine position (OSP) and the prone position (PP).Aim: To perform a systematic review and meta-analysis to evaluate the efficacy and safety of OSP versus PP for PCNL. Material and methods: A systematic literature search of PubMed, Ovid, SCOPUS, and citation lists was conducted to identify eligible comparative studies up to November 2022. All studies comparing OSP versus PP for PCNL were included. Statistical analysis was performed with the Collaboration's Review Manager (RevMan) 5.4 software. Results: Overall, eight studies were included involving 1185 patients (OSP = 634; PP = 551). There were no statistically significant differences between OSP and PP in age (WMD = -0.95 years; 95% CI: -2.12 to 0.21; p = 0.83) or proportion of male patients (OR = 0.02; 95% CI: -0.03 to 0.08; p = 0.43). We found that OSP was performed more frequently for smaller stone size and patients with higher BMI (WMD = -0.1 cm, 95%

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“…Percutaneous nephrolithotomy (PCNL) is now the first-line procedure for the treatment of large and complex renal stones. 1 , 2 postoperative complications are including visceral injuries, hemorrhage, arteriovenous fistula and pseudoaneurysm that can be identified through CT or renal angiography. 3 , 4 Pseudoaneurysm is a very rare condition which occurs in 0.6%–1% of the patients.…”

Section: Introductionmentioning

confidence: 99%

A study on comparative outcomes of totally ultrasonography-guided percutaneous nephrolithotomy in prone versus flank position: a randomized clinical trial

Cited by 10 publications

References 17 publications

Comparison of safety and efficacy of different positions in percutaneous nephrolithotomy: a network meta-analysis

Comparison of safety and efficacy of different positions in percutaneous nephrolithotomy: a network meta-analysis

Oblique supine position versus prone position for percutaneous nephrolithotomy: a systematic review and meta-analysis.

Percutaneous re-surgical approach for delayed bleeding caused by pseudoaneurysm following percutaneous nephrolithotomy

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