Abstract

INTRODUCTION

Percutaneous nephrolithotomy (PNL) is a widely used treatment choice for renal stones. Usually, PNL has been performed in prone position but due to some disadvantages of this pozisiton supine PNL has been described. In this study, we aimed to present the outcomes of PNL applied in supine position in our clinic.

METHODS

Retrospective data was collected on 74 patients underwent PNL in supine position between November 2016 and June 2018. Patients’ demographics, stone size, operation time, fluoroscopy time, hospitalization time, stone free rates and complications were collected.

RESULTS

Fourty-six men, twenty-eight women underwent supine PNL with a mean stone size of 2.4±0.62 cm. The mean age of the patients were 52±14.6 years. The mean operation, fluoroscopy and hispitalization time were 58.7±19.24 min, 3.61±1.35 min and 2.9 (1-6) days, respectively. The stone free rates among 74 patients was 86.48%. During the follow-up period, the total complication rate was 6.7%.

DISCUSSION AND CONCLUSION

For treatment of kidney stone supine PNL is a safe and effective procedure with high stone free rates. Supine position can be preferred in terms of patient and surgeon comfort, allowing urethral Access during the surgery and acceptable anesthetic risks.