Percutaneous Nephrolithotomy (PCNL) is the standard procedure for large renal stones. This study was conducted to compare the conventional Prone position PCNL with the newer concept of Supine PCNL. A prospective, randomised controlled, double blind study was conducted in 100 patients planned for PCNL. They were randomised into 2 groups with 50 patients each and PCNL was performed either in the prone or supine position. The patient groups were compared for the length of hospital stay, duration of surgery, postoperative and intra operative complications, postoperative stone free status, and requirement of adjunctive procedures. Stone free rates were significantly better for the supine PCNL group. Post operative complications such as fever was more for Prone PCNL group. The other parameters that were not statistically significant were mean operating time which was less for the supine group and duration of hospital stay which was less for the supine group. There was no difference in the other complication rates between the two procedures. The requirement of additional procedures for stone clearance were also same between both the groups. To conclude, Our study demonstrates that supine PCNL is a better technique than prone PCNL in terms of stone free rates, post-operative complications such as fever, lesser number of punctures required for stone clearance and more tubeless procedures.
| Published in | International Journal of Clinical Urology (Volume 5, Issue 1) |
| DOI | 10.11648/j.ijcu.20210501.21 |
| Page(s) | 51-57 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Supine PCNL, Prone PCNL, Post Operative Complications
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APA Style
Mohan Keshavamurthy, Niramya Pathak, Karthik Rao, Sreeharsha Harinatha, Shakir Tabrez, et al. (2021). Supine Versus Prone Percutaneous Nephrolithotomy – A Randomised Comparative Study. International Journal of Clinical Urology, 5(1), 51-57. https://doi.org/10.11648/j.ijcu.20210501.21
ACS Style
Mohan Keshavamurthy; Niramya Pathak; Karthik Rao; Sreeharsha Harinatha; Shakir Tabrez, et al. Supine Versus Prone Percutaneous Nephrolithotomy – A Randomised Comparative Study. Int. J. Clin. Urol. 2021, 5(1), 51-57. doi: 10.11648/j.ijcu.20210501.21
AMA Style
Mohan Keshavamurthy, Niramya Pathak, Karthik Rao, Sreeharsha Harinatha, Shakir Tabrez, et al. Supine Versus Prone Percutaneous Nephrolithotomy – A Randomised Comparative Study. Int J Clin Urol. 2021;5(1):51-57. doi: 10.11648/j.ijcu.20210501.21
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Download@article{10.11648/j.ijcu.20210501.21,
author = {Mohan Keshavamurthy and Niramya Pathak and Karthik Rao and Sreeharsha Harinatha and Shakir Tabrez and Premakumar Krishnappa and Basavaraja Neelagar and Santosh Kumar Subudhi},
title = {Supine Versus Prone Percutaneous Nephrolithotomy – A Randomised Comparative Study},
journal = {International Journal of Clinical Urology},
volume = {5},
number = {1},
pages = {51-57},
doi = {10.11648/j.ijcu.20210501.21},
url = {https://doi.org/10.11648/j.ijcu.20210501.21},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20210501.21},
abstract = {Percutaneous Nephrolithotomy (PCNL) is the standard procedure for large renal stones. This study was conducted to compare the conventional Prone position PCNL with the newer concept of Supine PCNL. A prospective, randomised controlled, double blind study was conducted in 100 patients planned for PCNL. They were randomised into 2 groups with 50 patients each and PCNL was performed either in the prone or supine position. The patient groups were compared for the length of hospital stay, duration of surgery, postoperative and intra operative complications, postoperative stone free status, and requirement of adjunctive procedures. Stone free rates were significantly better for the supine PCNL group. Post operative complications such as fever was more for Prone PCNL group. The other parameters that were not statistically significant were mean operating time which was less for the supine group and duration of hospital stay which was less for the supine group. There was no difference in the other complication rates between the two procedures. The requirement of additional procedures for stone clearance were also same between both the groups. To conclude, Our study demonstrates that supine PCNL is a better technique than prone PCNL in terms of stone free rates, post-operative complications such as fever, lesser number of punctures required for stone clearance and more tubeless procedures.},
year = {2021}
}
TY - JOUR T1 - Supine Versus Prone Percutaneous Nephrolithotomy – A Randomised Comparative Study AU - Mohan Keshavamurthy AU - Niramya Pathak AU - Karthik Rao AU - Sreeharsha Harinatha AU - Shakir Tabrez AU - Premakumar Krishnappa AU - Basavaraja Neelagar AU - Santosh Kumar Subudhi Y1 - 2021/06/09 PY - 2021 N1 - https://doi.org/10.11648/j.ijcu.20210501.21 DO - 10.11648/j.ijcu.20210501.21 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 51 EP - 57 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20210501.21 AB - Percutaneous Nephrolithotomy (PCNL) is the standard procedure for large renal stones. This study was conducted to compare the conventional Prone position PCNL with the newer concept of Supine PCNL. A prospective, randomised controlled, double blind study was conducted in 100 patients planned for PCNL. They were randomised into 2 groups with 50 patients each and PCNL was performed either in the prone or supine position. The patient groups were compared for the length of hospital stay, duration of surgery, postoperative and intra operative complications, postoperative stone free status, and requirement of adjunctive procedures. Stone free rates were significantly better for the supine PCNL group. Post operative complications such as fever was more for Prone PCNL group. The other parameters that were not statistically significant were mean operating time which was less for the supine group and duration of hospital stay which was less for the supine group. There was no difference in the other complication rates between the two procedures. The requirement of additional procedures for stone clearance were also same between both the groups. To conclude, Our study demonstrates that supine PCNL is a better technique than prone PCNL in terms of stone free rates, post-operative complications such as fever, lesser number of punctures required for stone clearance and more tubeless procedures. VL - 5 IS - 1 ER -
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