Abstract:
PURPOSE OF REVIEW:Supine percutaneous nephrolithotomy (PCNL) has been described in 1988 and several modifications followed since. Despite claimed benefits, supine PCNL is still neglected by the majority of urologists. Lack of experience and the fear of complications are possible explanations for the resistance to supine positioning. This review evaluates recent literature on the use of supine PCNL, focussing on benefits and safety. RECENT FINDING:The Clinical Research Office of the Endourological Society Global Study and several (retrospective) reports comment on efficacy and safety of PCNL, differences in techniques, or identify conditions and patient factors for best practice. Anesthesiologic benefits (especially in the high risk, cardiopulmonary compromised, patient) and anatomical advantages are described in supine position theoretically favoring safety of supine PCNL. However, there are no prospective randomized studies conducted to support this assumption. Overall, benefits in efficacy or safety, of one position over the other, are not yet proven. SUMMARY:Supine PCNL has advantages in selected patients. Ultimately, the decision on position should be made on patient's characteristics and surgeon's preference and experience.
journal_name
Curr Opin Uroljournal_title
Current opinion in urologyauthors
Baard J,Kamphuis GM,Westendarp M,de la Rosette JJdoi
10.1097/MOU.0000000000000023subject
Has Abstractpub_date
2014-03-01 00:00:00pages
184-8issue
2eissn
0963-0643issn
1473-6586journal_volume
24pub_type
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journal_title:Current opinion in urology
pub_type: 杂志文章,多中心研究
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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pub_type: 杂志文章,评审
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更新日期:2007-01-01 00:00:00
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pub_type: 社论,评审
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pub_type: 杂志文章,评审
doi:10.1097/MOU.0b013e32834b31c4
更新日期:2011-11-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1097/MOU.0b013e328361d451
更新日期:2013-07-01 00:00:00
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journal_title:Current opinion in urology
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doi:10.1097/00042307-200209000-00009
更新日期:2002-09-01 00:00:00
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doi:10.1097/01.mou.0000160621.05742.a4
更新日期:2005-03-01 00:00:00
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journal_title:Current opinion in urology
pub_type: 杂志文章,评审
doi:10.1097/00042307-200211000-00010
更新日期:2002-11-01 00:00:00
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doi:10.1097/MOU.0b013e32835d4cda
更新日期:2013-03-01 00:00:00
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更新日期:2010-07-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章,评审
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