Prone versus Barts 'flank-free' modified supine percutaneous nephrolithotomy: a match-pair analysis
| Autor: | Ozer Ural Cakici, A. Ardicoglu, Mehmet Yiğit Yalçın, Taha Çetin, Murat Keske, Uygar Micoogullari, Mehmet Yıldızhan, Furkan Umut Kilic, D. Kamaci |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Supine position medicine.medical_treatment Nephrolithotomy Percutaneous Article Patient Positioning Barts “flank-free” modified supine position Kidney Calculi Anesthesiology Supine Position Percutaneous nephrolithotomy Humans Medicine Fluoroscopy Hydronephrosis Retrospective Studies supine medicine.diagnostic_test business.industry General Medicine Middle Aged kidney stone medicine.disease Surgery Treatment Outcome prone Female Kidney stones stone-free rate business Complication Body mass index |
| Zdroj: | Turkish Journal of Medical Sciences |
| ISSN: | 1303-6165 |
| DOI: | 10.3906/sag-2011-21 |
| Popis: | Background/aim In this study, we aimed to compare the results of prone and Barts “flank-free” modified supine percutaneous nephrolithotomy (PCNL) operations in our clinic. Materials and methods The data from patients that underwent Barts “flank-free” modified supine PCNL (BS-PCNL) (n = 52) between June 2018 and July 2020 and prone PCNL (P-PCNL) (n = 286) between April 2014 and June 2018 were retrospectively evaluated. Of those 286 patients, 104 patients whose sex, age, body mass index, American Society of Anesthesiology score, stone localization, stone size, and hydronephrosis matched the BS-PCNL group in a 1:2 ratio were included in the study. The groups were compared in terms of intraoperative outcome, complication rates, and stone-free rates. Results The mean age of all patients (58 females, 98 males) included in the study was 41.8 ± 15.2 years, and the mean body mass index (BMI) was 24.7 ± 2.9 kg/m2. The mean operation time was significantly shorter in the BS-PCNL group than in the P-PCNL group (80.2 ± 15.1 min vs. 92.4 ± 22.7 min and p = 0.01). There was no significant difference between the two groups in terms of fluoroscopy time, intraoperative complications, postoperative complications, and stone-free rates. Conclusion Our study shows that BS-PCNL is an effective and safe method that significantly reduces the operation time and should be considered as one of the primary treatment options for patients scheduled for PCNL. |
| Databáze: | OpenAIRE |
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