The use of supine PNL technique for a tubeless procedure and shorter hospital stay : A comparison of supine and prone PNL procedures in 361 cases
OBJECTIVE: To compare the efficacy and safety of prone and supine percutaneous nephrolithotomy (P/SPNL) with special emphasis on tubeless (T) and totally tubeless (TT) surgery.
MATERIAL AND METHODS: This retrospective, single-surgeon, consecutive series comparison study involved 361 consecutive patients who under went PNL operations in either the prone or Galdakao-modified Valdivia supine positions between September 2016 and March 2020. Indication for surgery was a stone diameter greater than 2 cm. The two groups were compared in terms of preoperative demographics, stone parameters, and perioperative data.
RESULTS: The groups were similar in terms of preoperative demographics, while the blood transfusion rate was insignificantly higher in PPNL (7% vs 3.3%, p=0.165). Mean operative time (58.0±20.6 vs 54.1±15.9 min., respectively, p=0.165), fluoroscopy time (p=0.895), and Clavien complication rates (p=0.87) were similar. SPNL exhibited a significantly (p<0.001) higher rate of T operations (23, 37.7%) than PPNL (46, 15.3%). TT cases were also higher with SPNL (14% vs 29.5%,p=0.003). Urine leakage (p=0.085) and post-operative JJ stent placement (p=0.180) rates were statistically similar between the two groups. Length of hospital stay was approximately one day shorter for T cases in both groups (PPNL: 1.37±0.80 vs 2.26±1.28 days, p=0.001; SPNL: 1.65±0.83 vs 2.76±2.27 days, p=0.028). Stone free rates were 91.3% and 88.5% for PPNL and SPNL, respectively (p=0.488).
CONCLUSION: SPNL has proved to be as safe and effective as its prone counter part, with similar stone-free and complication rates. T and TT-PNL seem more viable with SPNL, which will increase patient comfort and allow shorter hospitalization times.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:74 |
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| Enthalten in: |
Archivos espanoles de urologia - 74(2021), 9 vom: 24. Nov., Seite 867-874 |
| Sprache: |
Englisch |
|---|
| Weiterer Titel: |
El uso de la técnica de NLP en decúbito supino para un procedimiento sin cámara y una estancia hospitalaria más corta: una comparación de los procedimientos de NLP en decúbito supino y prono en 361 casos |
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| Beteiligte Personen: |
Yıldızhan, Mehmet [VerfasserIn] |
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| Themen: |
Cálculos renales |
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| Anmerkungen: |
Date Completed 04.11.2021 Date Revised 28.04.2022 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM33264829X |
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| 100 | 1 | |a Yıldızhan, Mehmet |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The use of supine PNL technique for a tubeless procedure and shorter hospital stay |b A comparison of supine and prone PNL procedures in 361 cases |
| 246 | 3 | 3 | |a El uso de la técnica de NLP en decúbito supino para un procedimiento sin cámara y una estancia hospitalaria más corta: una comparación de los procedimientos de NLP en decúbito supino y prono en 361 casos |
| 264 | 1 | |c 2021 | |
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| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 04.11.2021 | ||
| 500 | |a Date Revised 28.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To compare the efficacy and safety of prone and supine percutaneous nephrolithotomy (P/SPNL) with special emphasis on tubeless (T) and totally tubeless (TT) surgery | ||
| 520 | |a MATERIAL AND METHODS: This retrospective, single-surgeon, consecutive series comparison study involved 361 consecutive patients who under went PNL operations in either the prone or Galdakao-modified Valdivia supine positions between September 2016 and March 2020. Indication for surgery was a stone diameter greater than 2 cm. The two groups were compared in terms of preoperative demographics, stone parameters, and perioperative data | ||
| 520 | |a RESULTS: The groups were similar in terms of preoperative demographics, while the blood transfusion rate was insignificantly higher in PPNL (7% vs 3.3%, p=0.165). Mean operative time (58.0±20.6 vs 54.1±15.9 min., respectively, p=0.165), fluoroscopy time (p=0.895), and Clavien complication rates (p=0.87) were similar. SPNL exhibited a significantly (p<0.001) higher rate of T operations (23, 37.7%) than PPNL (46, 15.3%). TT cases were also higher with SPNL (14% vs 29.5%,p=0.003). Urine leakage (p=0.085) and post-operative JJ stent placement (p=0.180) rates were statistically similar between the two groups. Length of hospital stay was approximately one day shorter for T cases in both groups (PPNL: 1.37±0.80 vs 2.26±1.28 days, p=0.001; SPNL: 1.65±0.83 vs 2.76±2.27 days, p=0.028). Stone free rates were 91.3% and 88.5% for PPNL and SPNL, respectively (p=0.488) | ||
| 520 | |a CONCLUSION: SPNL has proved to be as safe and effective as its prone counter part, with similar stone-free and complication rates. T and TT-PNL seem more viable with SPNL, which will increase patient comfort and allow shorter hospitalization times | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cálculos renales | |
| 650 | 4 | |a Decúbito prono | |
| 650 | 4 | |a Decúbito supino | |
| 650 | 4 | |a Kidney stones | |
| 650 | 4 | |a Nefrolitotomíapercutánea | |
| 650 | 4 | |a Percutaneous nephrolithotomy | |
| 650 | 4 | |a Prone position | |
| 650 | 4 | |a Supine position | |
| 700 | 1 | |a Salabaş, Emre |e verfasserin |4 aut | |
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