Jie Li1, Liang Gao2, Qiubo Li3, Yuanfeng Zhang4, Qing Jiang5. 1. The Second Affiliated Hospital of Chongqing Medical University, Department of Urology, Chongqing, China. Electronic address: 13527360248@163.com. 2. The Second Affiliated Hospital of Chongqing Medical University, Department of Urology, Chongqing, China. Electronic address: gaoliang3745@163.com. 3. The Second Affiliated Hospital of Chongqing Medical University, Department of Urology, Chongqing, China. Electronic address: 906247423@qq.com. 4. The Second Affiliated Hospital of Chongqing Medical University, Department of Urology, Chongqing, China. Electronic address: zyfnic@hotmail.com. 5. The Second Affiliated Hospital of Chongqing Medical University, Department of Urology, Chongqing, China. Electronic address: jiangqing066@163.com.
Abstract
OBJECTIVE: To compare the safety and efficacy of percutaneous nephrolithotripsy (PCNL) in supine versus prone position for patients with renal or upper ureteral calculi. METHODS: A systematic search of Pubmed, Embase and Cochrane Central Register of Controlled Trials was performed to identify all eligible studies. All included randomized controlled trials (RCTs) were evaluated based on the inclusion and exclusion criteria. After quality assessment and date extraction, a meta-analysis was performed using RevMan 5.3 software. RESULTS: A total of 15 RCTs with 1474 patients were included in our meta-analysis. Pooled data showed that PCNL in supine position could significantly reduce the operative time [weighted mean difference (WMD) -12.02, 95% confidence interval (CI) -20.49 to -3.54, p = 0.005] and rate of fever [risk ratio (RR) 0.67, 95% CI 0.46 to 0.97, p = 0.03] compared to prone position. In addition, no significant differences could be found between groups in stone-free rate (p = 0.31), hospital stay (p = 0.59) and rate of overall complications (p = 0.11), mainly including urinary leakage (p = 0.83), pleural effusion (p = 0.74) and blood transfusion (p = 0.58). CONCLUSIONS: The current study found comparable stone-free rate and significant lower rate of postoperative fever in supine PCNL compared with prone PCNL. PCNL in supine position could be a safe and efficient choice for patients with renal or upper ureteral calculi.
OBJECTIVE: To compare the safety and efficacy of percutaneous nephrolithotripsy (PCNL) in supine versus prone position for patients with renal or upper ureteral calculi. METHODS: A systematic search of Pubmed, Embase and Cochrane Central Register of Controlled Trials was performed to identify all eligible studies. All included randomized controlled trials (RCTs) were evaluated based on the inclusion and exclusion criteria. After quality assessment and date extraction, a meta-analysis was performed using RevMan 5.3 software. RESULTS: A total of 15 RCTs with 1474 patients were included in our meta-analysis. Pooled data showed that PCNL in supine position could significantly reduce the operative time [weighted mean difference (WMD) -12.02, 95% confidence interval (CI) -20.49 to -3.54, p = 0.005] and rate of fever [risk ratio (RR) 0.67, 95% CI 0.46 to 0.97, p = 0.03] compared to prone position. In addition, no significant differences could be found between groups in stone-free rate (p = 0.31), hospital stay (p = 0.59) and rate of overall complications (p = 0.11), mainly including urinary leakage (p = 0.83), pleural effusion (p = 0.74) and blood transfusion (p = 0.58). CONCLUSIONS: The current study found comparable stone-free rate and significant lower rate of postoperative fever in supine PCNL compared with prone PCNL. PCNL in supine position could be a safe and efficient choice for patients with renal or upper ureteral calculi.
Authors: Tomas Andri Axelsson; Cecilia Cracco; Mahesh Desai; Mudhar Nazar Hasan; Thomas Knoll; Emanuele Montanari; Daniel Pérez-Fentes; Michael Straub; Kay Thomas; James C Williams; Marianne Brehmer; Palle J S Osther Journal: World J Urol Date: 2020-07-29 Impact factor: 4.226
Authors: Vineet Gauhar; Olivier Traxer; Esther García Rojo; Simone Scarcella; Maria Pia Pavia; Vinson Wai-Shun Chan; Eugenio Pretore; Marcelo Langer Wroclawski; Mariela Corrales; Ho Yee Tiong; Ee Jean Lim; Jeremy Yuen-Chun Teoh; Chin-Tiong Heng; Jean de la Rosette; Bhaskar Kuman Somani; Daniele Castellani Journal: Urolithiasis Date: 2022-06-08 Impact factor: 2.861