How well tolerated is supine percutaneous nephrolithotomy?

Baard, Joyce; Kamphuis, Guido; Westendarp, Matías; Rosette, Jean J.M.C.H. de la

doi:10.1097/mou.0000000000000023

Cited by 9 publications

(4 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although PNL is considered as a safe procedure especially inexperienced hands, complications may still occur. Complication rates are similar between supine and prone-positioned PNL procedures (Baard et al, 2014). Furthermore, most of the perioperative complications in the prone PNL are anesthesia-related and pulmonary problems arising from position change can lead to these complications (Kyriazis et al, 2015).…”

Section: Discussionmentioning

confidence: 97%

Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

et al. 2021

View full text Add to dashboard Cite

Percutaneous nephrolithotomy (PNL) surgeries are performed with different patient positions, anesthesia methods and different-sized access sheaths in order to reduce the complication rates. Supine positioned PNL can be performed safely in the high-risk group patients with comorbidities. Herein, we present a patient who had a past surgical history of right pneumonectomy and underwent a supine PNL procedure under regional anesthesia for a staghorn renal stone in the right kidney.

show abstract

Section: Discussionmentioning

confidence: 97%

Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Other advantages of the supine position are less vascular, peripheral nerve and cervical spine injuries, tracheal compression, and less ocular damage. On the other hand, since fluid absorption is less in the supine position, it is especially important in pediatric patients, patients with impaired cardiovascular status, and patients at risk of systemic infection due to struvite or non-struvite stones colonized by bacteria [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of supine–prone percutaneous nephrolithotomy methods in the treatment of kidney stones in pediatric patients: prospective randomized study

Eryılmaz,

Ertas,

Aslan

et al. 2024

Urolithiasis

View full text Add to dashboard Cite

Mini-PCNL is one of the most effective surgical methods in the treatment of kidney stones in pediatric patients. In this study, we aimed to compare PCNL in the supine–prone position in pediatric patients (especially operation time, postop complications, hospital stay and stone-free rates).We conducted our study in a randomized and prospective manner. Patients with lower pole stones larger than 1 cm, stones larger than 1.5 cm in the pelvis, upper pole, midpole or multiple locations, and patients who did not respond to ESWL or whose family that preferred mini-PCNL to be the primary treatment were included in the study. Patients with any previous kidney stone surgery, patients with coagulation disorders and patients with retrorenal colon were excluded from the study. Between 2021 and 2023, a total of 144 patients underwent PCNL. 68 of these patients had supine PCNL and 76 prone PCNL. Postoperative Clavien grade1 complication occurred in a total of 7 patients in the prone position; Clavien grade1 complication occurred in 1 patient in the supine position. The mean operation time for prone PCNL was 119.88 ± 28.32 min, and the mean operative time for supine PCNL was 98.12 ± 14.97 the mean hospitalization time in prone PCNL was 3.56 ± 1.12 days, and 3.00 ± 0.85 days in supine PCNL. In conclusion, supine PCNL is a safe and effective method in the treatment of pediatric kidney stones and postoperative complications were observed to be less; the operation time and hospital stay were shorter in supine PCNL.

show abstract

“…Studies of the relative safety of supine versus prone positioning have not demonstrated any difference in the risk of bowel perforation or other major complications. 25,26 Recent reports describing bowel perforation during PCNL have emphasized the opportunity for non-operative management for the injury, with placement of the percutaneous nephrostomy tube into the bowel lumen to act as a drain. [5][6][7]9,27 This opportunity is predicated on the presence of an indwelling nephrostomy tube to leave as an enteric drain.…”

Section: Discussionmentioning

confidence: 99%

An unusual presentation of colon perforation following percutaneous nephrolithotomy

Chubak

Stern

2014

CUAJ

View full text Add to dashboard Cite

Cite as: Can Urol Assoc J 2014;8(11-12):e862-6. http://dx.doi.org/10.5489/cuaj.2154 Published online November 24, 2014. AbstractColon perforation is a rare but serious complication of percutaneous nephrolithotomy (PCNL), meriting particular attention to its signs and symptoms for prompt diagnosis and treatment. We report an unusual presentation of colon perforation following tubeless PCNL, characterized by sore throat, pneumomediastinum, and neck and shoulder crepitus. In addition to the details of this case, we review the current literature on bowel injury during PCNL and its management.

show abstract

How well tolerated is supine percutaneous nephrolithotomy?

Abstract: Supine PCNL has advantages in selected patients. Ultimately, the decision on position should be made on patient's characteristics and surgeon's preference and experience.

Cited by 9 publications

References 41 publications

Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

Comparison of supine–prone percutaneous nephrolithotomy methods in the treatment of kidney stones in pediatric patients: prospective randomized study

An unusual presentation of colon perforation following percutaneous nephrolithotomy

Contact Info

Product

Resources

About