Revista: | International braz j urol |
Base de datos: | PERIÓDICA |
Número de sistema: | 000434854 |
ISSN: | 1677-5538 |
Autores: | Melo, Petronio Augusto de Souza1 Vicentini, Fabio Carvalho1 Perrella, Rodrigo1 Murta, Claudio Bovolenta1 Claro, Joaquim Francisco de Almeida1 |
Instituciones: | 1Hospital Brigadeiro, Centro de Saude Masculina, Sao Paulo. Brasil |
Año: | 2019 |
Periodo: | Ene-Feb |
Volumen: | 45 |
Número: | 1 |
País: | Brasil |
Idioma: | Inglés |
Tipo de documento: | Artículo |
Enfoque: | Aplicado, descriptivo |
Resumen en inglés | Purpose: To compare the outcomes of percutaneous nephrolithotomy (PCNL) performed in the prone position (PRON) and in three variations of the supine position. Materials and Methods: We performed a retrospective analysis of patients that underwent PCNL at our institution from June 2011 to October 2016 in PRON and in three variations of the supine position: complete supine (COMPSUP), original Valdivia (VALD), and Galdakao - modified Valdivia (GALD). All patients had a complete pre - operative evaluation, including computed tomography (CT). Success was defined as the absence of residual fragments larger than 4 mm on the first post - operative day CT. Results: We analyzed 393 PCNLs: 100 in COMPSUP, 94 in VALD, 100 in GALD, and 99 in PRON. The overall success rate was 50.9% and was similar among groups (p = 0.428). There were no differences between groups in the number of punctures, stone - free rate, frequency of blood transfusions, drop in hemoglobin level, length of hospital stay, and severe complications (Clavien ≥ 3). COMPSUP had a significantly lower operative time than the other positions. COMPSUP had lower fluoroscopy time than VALD. Conclusion: Patient positioning in PCNL does not seem to impact the rates of success or severe complications. However, COMPSUP is associated with a shorter surgical time than the other positions |
Disciplinas: | Medicina |
Palabras clave: | Nefrología, Cirugía, Cálculos renales, Nefrolitotomía percutánea, Abordaje quirúrgico, Posición prona |
Keyword: | Nephrology, Surgery, Kidney stones, Percutaneous nephrolithotomy, Surgical approach, Prone position |
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