USAGE OF SUPPORTING PAD FOR SUPINE PCNL: A SINGLE CENTER EXPERIENCE

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

PDF
Published 2022-01-11
Rizky Lukman Hakim Ponco Birowo

Abstract

Objective: This study aims to compare the safety, efficacy, and other surgical outcomes of supine PCNLs performed with and without the use of supporting pad. Material & Methods: We enrolled 27 patients who undergone PCNL procedure with supine position for renal stones with all sizes between January - December 2019. Divided into two groups, operated with and without supporting pad, with 13 and 14 patients respectively. Inclusion criteria are patients with renal stones, including staghorn, multiple calyx, and proximal ureteral stones. Meanwhile, pediatric patients under 12 years old, uncorrectable bleeding disorders, active urinary infection, and pregnancy are excluded. Results: Our observation showed no statistically significant difference between the two groups, although blood loss and length of stay in supporting pad showed better results. A statistically significant difference was found in stone-free-rate (P = 0.006) favoring in supine PCNL with supporting pad. Conclusion: Supine PCNL with support padding may be a safe and more effective choice to treat renal stones. Nevertheless, the patient’s anatomic variations may influence this. Thus, a prospective study with a larger population is needed to verify our outcomes.


##plugins.themes.bootstrap3.article.details##

Keywords

supine PCNL, PCNL, supporting pad

References

Kontos S, Papatsoris A, Nalagatla SK. Supine PCNL: An alternative to prone PCNL. Initial experience. Hellenic Urology. 2015; 27(1): 24-29.

Quaresima L, Conti A, Vici A, Tiroli M, Cantoro D, Rreshketa A, et al. Safety and efficacy of percutaneous nephrolithotomy in the Galdakao-Modified Supine Valdivia position: A prospective analysis. Archivio Italiano di Urologia e Andrologia. 2016; 88(2): 93-96.

Sofer M, Tavdi E, Levi O, Mintz I, Bar-Yosef Y, Sidi A, et al. Implementation of supine percutaneous nephrolithotomy: a novel position for an old operation. Central European Journal of Urology. 2017; 70(1): 60.

Gamal W, Moursy E, Hussein M, Mmdouh A, Hammady A, Aldahshoury Ml. Supine pediatric percutaneous nephrolithotomy (PCNL). Journal of Pediatric Urology. 2015; 11(2): 78-e1.

El Hamshary SA,El Barky EM, Mostafa MM, Abd AM, Hassanine MA. Flank suspended supine position versus standard supine and prone position in percutaneous nephrolithotomy. Benha Medical Journal. 2017; 34(2): 93.

Batagello CA, Barone HDS, Nguyen AH, Alshara L, Li J, Marchini GS, et al. Endoscopic guided PCNL in the prone split-leg position versus supine PCNL: a comparative analysis stratified by Guy's stone score. The Canadian journal of urology. 2019; 26(1): 9664-9674.

Sofer M. PCNL: understanding the beauty of the supine position. Central European Journal of Urology. 2017;70(1):68.

Xia Q, Zhao Z, Li C, Hao X, Dun W. Application of a Self-Made Equipment for Patient Positioning during Percutaneous Nephroscopy in the Oblique-Supine Position. Urologia Internationalis. 2019; 103(1): 89-94.

Pathirana H, Nandamuni Y, Manikkage Y, Hingalagoda C, Seneviratne LN. Supine percutaneous nephrolithotomy (s-PCNL) as an alternative to conventional prone approach. Proceedings of Annual Scientific Sessions of Faculty of Medical Sciences. 2016.

Torricelli FCM, Ogawa GK, Vicentini FC, Marchini GS, Danilovic A, Srougi M, et al. Supine percutaneous nephrolitotripsy in septuagenarian and octogenarian patients: outcomes of a case-control study. The Canadian Journal of Urology. 2018; 25(2): 9245-9249.

Gupta S, Maurya AK, Pal DK. Observational prospective study for surgical outcome and anesthetic feasibility of tubeless and totally tubeless supine PCNL: A single centre initial experience. Turkish Journal of Urology. 2019; 45(2): 146.

Mak DKC, Smith Y, Buchholz N, El-Husseiny T. What is better in percutaneous nephrolithotomy–Prone or supine? A systematic review. Arab Journal of Urology. 2016; 14(2): 101-107.

Srinivas SU, Gall Z, Lynch N, Pollard A, Counsell A, Brown S, et al. A retrospective, observational study of supine percutaneous nephrolithotomy. Journal of Clinical Urology. 2018; 11(4): 285-292.

Xia, Qiang, et al. Application of a Self-Made Equipment for Patient Positioning during Percutaneous Nephroscopy in the Oblique-Supine Position. Urologia internationalis (2019): 1-6.

Section
Articles
Copyright Information
Department of Urology, Faculty of Medicine/Airlangga University