Supine and Prone Positions in Percutaneous Nephrolithotomy: Exploring Their Roles in Operative Efficiency and Patient Comfort

Authors : Dursun Baba, İsmail Eyüp Dilek, Emre Ediz, Burak Ayvacık, Yusuf Şenoğlu, Arda Taşkın Taşkıran, Ahmet Yıldırım Balık, Ekrem Başaran, Muhammet Ali Kayıkçı

Pages : 282-287

Doi:10.33631/sabd.1597277

View : 80 | Download : 110

Publication Date : 2025-05-22

Article Type : Research Paper

Abstract :Aim: This study aimed to compare the effects of supine and prone positions during percutaneous nephrolithotomy (PCNL) on operative characteristics, patient out-comes and postoperative quality of recovery. Material and Methods: A retrospective analysis was conducted on 78 patients who underwent PCNL for renal stones ≥2 cm at a single center between December 2022 and August 2024. Patients were divided into two groups: 41 treated in the mini-PCNL (mPCNL) supine position and 37 in the standart PCNL (sPCNL) prone position. Demographic data, operative time, hospital stay duration, complication rates, postoperative pain and analgesic requirements and quality of recovery scores (QoR) were compared. Treatment efficacy was assessed based on residual stone presence at 2 months postoperatively, with <2 mm considered stone-free. Results: Operative and access times were significantly shorter in the supine group and these patients had a reduced hospital stay. Quality of recovery improvement was more pronounced in the supine group with lower postoperative pain and analgesic requirements. Additionally, supine-positioned patients had a lower rate of residual stones compared to the prone group, suggesting enhanced treatment efficacy. Conclusion: The supine position in mPCNL offers advantages over the prone position in terms of operative efficiency, patient comfort and postoperative quality of recovery. Given these benefits the supine position may be a preferable choice for PCNL procedures. Further multicenter studies are recommended to validate these findings across broader patient populations.
Keywords : Perkütan Nefrolitotomi, Supine Pozisyon, Prone Pozisyon, Yaşam Kalitesi, İyileşme Kalitesi, Renal Taş, Postoperatif Sonuçlar

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