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Systematic Review And Meta-analysis Of Percutaneous Nephrolithotomy For Patients In The Supine Versus Prone Position.

Liangren Liu, Shuo Zheng, Yong Xu, Qiang Wei
Published 2010 · Medicine
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PURPOSE To evaluate the efficacy and safety of percutaneous nephrolithotomy (PCNL) for patients in the supine position vs prone position. MATERIALS AND METHODS Eligible studies were identified from electronic databases (Cochrane CENTRAL, Medline and EMBASE). The database search, quality assessment, and data extraction were independently performed by two reviewers. Efficacy (stone-free rate, operative time) and safety (complication, such as fever and transfusion rate) were explored by using Review Manager 5.0. Sensitivity analysis was performed to explore the influence of low-quality studies. RESULTS Two randomized controlled trials and two case-control studies including 389 patients met the inclusion criteria. Meta-analysis of extractable data showed that PCNL in the supine position was associated with a significantly shorter operative time than PCNL in the prone position (mean difference: -24.84; 95% confidence interval [CI]: -34.45 to -15.23; P < 0.00001). There was no difference between the positions with regard to success rate (odds ratio [OR]: 1.16; 95% CI: 0.68-1.48; P = 0.59), complication (OR: 1.09; 95% CI: 0.67-1.80; P = 0.72), transfusion rate (OR: 2.19; 95% CI: 0.93-5.13; P = 0.07), and fever rate (OR: 0.39; 95% CI: 0.13-1.16; P = 0.09). CONCLUSION PCNL in the supine position took a shorter operative time than the prone position, but both positions appeared to be equivalent with regard to the stone-free rate and complication rate, transfusion rate, and fever rate. In brief, PCNL in the supine position is as effective and safe as PCNL in the prone position and was an alternate option for removal of renal calculi in PCNL.
This paper references
10.4103/0970-1591.44281
Percutaneous nephrolithotomy: Current concepts
Fábio Carvalho Vicentini (2009)
10.1016/j.eururo.2008.07.073
Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position: a new standard for percutaneous nephrolithotomy?
Cesare Marco Scoffone (2008)
10.1097/01.RVI.0000175331.93499.44
Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT.
Dana N Tuttle (2005)
10.1016/S0210-4806(05)73385-4
La posición supina de Valdivia como mejor opción para la cirugía percutánea de los cálculos renales en el paciente con obesidad mórbida
Luis Angel Fariña Pérez (2005)
10.1007/s00276-001-0421-3
Variations of the position of the colon as applied to percutaneous nephrostomy
Johannes M Boon (2001)
10.1016/j.urology.2007.01.020
Percutaneous nephrostomy in supine position.
Luigi Cormio (2007)
10.1111/j.1464-410x.2007.07248_3.x
Supine valdivia and modified lithotomy position for simultaneous anterograde and retrograde endourological access.
Athanasios G. Papatsoris (2007)
10.1007/s00240-008-0134-8
Clinical value of minimally invasive percutaneous nephrolithotomy in the supine position under the guidance of real-time ultrasound: report of 92 cases
Xiangfu Zhou (2008)
10.1089/END.2006.0375
Percutaneous nephrolithotomy in the supine position: a neglected approach?
D Steele (2007)
10.1016/S0090-4295(02)01738-7
Percutaneous nephrolithotomy in the supine position: technical aspects and functional outcome compared with the prone technique.
Ahmed M. Shoma (2002)
10.22037/uj.v6i2.245
Supine percutaneous nephrolithotomy, is it really effective? A systematic review of literature.
Basiri Abas (2009)
10.1016/S0022-5347(01)62217-1
TECHNIQUE AND COMPLICATIONS OF PERCUTANEOUS NEPHROSCOPY: EXPERIENCE WITH 557 PATIENTS IN THE SUPINE POSITION
José Gabriel Valdivia Uría (1998)
10.1016/j.eururo.2008.01.067
Modified supine versus prone position in percutaneous nephrolithotomy for renal stones treatable with a single percutaneous access: a prospective randomized trial.
Marco de Sio (2008)
10.1016/j.juro.2007.03.056
Percutaneous nephrolithotripsy with the patient in a modified supine position.
Elias Assad Chedid Neto (2007)
10.1016/j.eururo.2008.08.012
Beyond prone position in percutaneous nephrolithotomy: a comprehensive review.
Jean J.M.C.H. de la Rosette (2008)
10.1080/21681805.1976.11882084
Percutaneous Pyelolithotomy.
Ingmar Fernström (1976)
10.1016/S0210-4806(08)73857-9
Comparación entre la posición de Valdivia y la posición prona en la nefrolitectomía percutánea (NLP)
José Heriberto Amón Sesmero (2008)
10.1089/end.2006.0212
Supine percutaneous nephrolithotomy: Effective approach to high-risk and morbidly obese patients.
Thimmegowda Manohar (2007)
10.1089/end.2008.0463
Complete supine percutaneous nephrolithotripsy comparison with the prone standard technique.
Siavash Falahatkar (2008)



This paper is referenced by
10.1016/J.AFJU.2016.04.002
New developments in percutaneous stone surgery
Samir Derisavifard* (2016)
10.1016/j.aju.2012.06.005
Positions for percutaneous nephrolithotomy: Thirty-five years of evolution
Theocharis Karaolides (2012)
10.1159/000341430
The Barts ‘Flank-Free’ Modified Supine Position for Percutaneous Nephrolithotomy
Christian Bach (2012)
10.7150/ijms.6305
Prone versus Modified Supine Position in Percutaneous Nephrolithotomy: a Prospective Randomized Study
Yanbo Justin Wang (2013)
Supine Percutaneous Nephrolithotomy
Aliakbar Allahkhah (2011)
10.1016/J.PUROL.2012.01.001
Néphrolithotomie percutanée : faut-il passer du décubitus ventral au décubitus dorsal ?
R. Lardon (2012)
10.1007/978-981-13-3465-8_34
Renal Access for PCNL: The Smaller the Better?
Bum Soo Kim (2019)
10.9790/0853-1605024143
Surgical outcomes of Modified supine vs Prone position in Percutaneous Nephrolithotomy
R BalajiA. (2017)
10.1007/s00240-013-0558-7
Reproducibility of percutaneous nephrolithotomy in the Galdakao-modified supine Valdivia position
Luis Llanes (2013)
10.1002/9781118670903.CH7
Instrumentation and Surgical Technique: Tract Dilation and Endoscope
Michael J Metcalfe (2013)
10.1016/J.AJUR.2014.08.006
WITHDRWAN: Advances in percutaneous stone surgery
Christopher M. Hartman (2014)
10.1186/s12301-020-00025-w
Management of upper calyceal stone by percutaneous nephrolithotomy through lower calyx access: prone versus supine position
Tarek T Soliman (2020)
10.1007/978-2-8178-0459-0_10
Endoscopic Combined IntraRenal Surgery (ECIRS): Rationale
Cesare Marco Scoffone (2014)
10.1007/s00345-020-03285-x
Split-leg modified lateral versus prone position in percutaneous nephrolithotomy: a prospective, randomized trial
Abul-fotouh Ahmed (2020)
10.1038/nrurol.2011.4
Stones: Supine vs prone PCNL: which wins?
Nick Warde (2011)
10.1007/s11934-017-0676-9
Prone Versus Supine Percutaneous Nephrolithotomy: What Is Your Position?
Roshan M. Patel (2017)
10.1016/j.urolvj.2020.100042
Technique for supine percutaneous nephrolithotomy
Mario Basulto-Martínez (2020)
Nefrolitotomía percutánea en posición supina: reporte de una serie de casos
Manuel Cabrales Hessen (2012)
10.1097/MOU.0000000000000239
Positioning for percutaneous nephrolithotomy
Cecilia Maria Cracco (2016)
10.4103/0974-7796.152927
Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones: Lessons learned from a review of the literature
Nikolaos Ferakis (2015)
Prone versus supine PCNL
(2018)
10.1016/j.aju.2016.01.005
What is better in percutaneous nephrolithotomy – Prone or supine? A systematic review
David K. M. Mak (2016)
10.1007/s00345-011-0692-1
Percutaneous nephrolithotomy in children: does age matter?
H Doğan (2011)
10.2147/RRU.S174396
Patient positioning during percutaneous nephrolithotomy: what is the current best practice?
Panagiotis Mourmouris (2018)
10.1111/j.1464-410X.2011.10488.x
Supine vs prone percutaneous nephrolithotomy: an anaesthetist's view.
Catherine J Atkinson (2011)
10.1016/j.eururo.2011.09.016
Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy.
Christian Seitz (2012)
10.1111/j.1464-410X.2012.11188.x
Supine percutaneous nephrolithotomy (PCNL): 'in vogue' but in which position?
Priyadarshi Kumar (2012)
10.5505/aot.2018.61587
Percutaneous Nephrolithotomy in Supine Position: A Single Center Experience
Erdem Öztürk (2018)
10.1590/1677-553820133806788
Percutaneous nephrolithotomy for staghorn stones in patients with solitary kidney in prone position or in completely supine position: a single-center experience.
Yanbo Justin Wang (2012)
10.1007/s00345-012-0889-y
A study on comparative outcomes of percutaneous nephrolithotomy in prone, supine, and flank positions
Hossein Karami (2012)
10.1016/j.bjmsu.2012.03.005
Supine percutaneous nephrolithotomy with endoscopic combined intrarenal surgery — results of the first one hundred patients from a single UK centre
Ninaad Awsare (2013)
10.1016/j.urology.2011.02.058
Fluoroscopy-guided renal access in supine percutaneous nephrolithotomy.
András Hoznek (2011)
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