Supine or Prone Percutaneous Nephrolithotomy: Do Anatomical Changes Make it Worse?

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dc.authorid0000-0001-6140-5181
dc.authorscopusid8416588900
dc.authorscopusid25027835200
dc.authorscopusid55608201600
dc.authorwosidYazici, Cenk Murat/AAA-4330-2020
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorKayhan, Arda
dc.contributor.authorDoğan, Çağrı
dc.date.accessioned2022-05-11T14:13:56Z
dc.date.available2022-05-11T14:13:56Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractPurpose: To evaluate the different anatomical properties and determine the risk of visceral organ injury in supine, prone, and prone-flex positions. Materials and Methods: A total of 30 patients with renal stones >2cm were included. A dose reduced abdominopelvic tomography in a supine, prone, and 30 degrees prone-flex position was performed. The access tract length, subcutaneous tissue length, nearest organ distance, maximum access angle, access field, and the degree of renal displacement were measured in axial and coronal images. The parameters were analyzed by the paired t-test and Wilcoxon signed test according to normalcy analysis. Results: The mean tract lengths and the subcutaneous fat tissue lengths in the lower, middle, and upper poles of kidney were significantly longer in the supine position. The significance of access tract lengths had disappeared when we subtracted the subcutaneous fat tissue length from the whole tract length, exhibiting that the main determinant of tract length was subcutaneous tissue thickness. The maximum access angles were 96.722.0 degrees, 94.2 +/- 23.6 degrees, and 89.1 +/- 23.9 degrees in the supine, prone, and prone-flex position, respectively (p>0.05). The access field was shorter in the supine (80.8 +/- 13.3mm) than prone (86.3 +/- 15.0mm) and prone-flex (86.7 +/- 18.4mm) position (p<0.001). The nearest organ distance to access tract was similar between the supine and prone position in every pole of kidney. Conclusions: The anatomical changes related to supine positioning does not increase the risk of percutaneous nephrolithotomy (PCNL) complications. Although supine PCNL may have some benefits over prone PCNL, there will also be some technical difficulties related to the surgeon's manipulations, which are related with the longer access tract and more limited access field.
dc.identifier.doi10.1089/end.2013.0541
dc.identifier.endpage16
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue1en_US
dc.identifier.pmid24073614
dc.identifier.scopus2-s2.0-84891786186
dc.identifier.scopusqualityQ1
dc.identifier.startpage10
dc.identifier.urihttps://doi.org/10.1089/end.2013.0541
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5705
dc.identifier.volume28
dc.identifier.wosWOS:000329361400002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYazıcı, Cenk Murat
dc.institutionauthorKayhan, Arda
dc.institutionauthorDoğan, Çağrı
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Endourology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPosition
dc.titleSupine or Prone Percutaneous Nephrolithotomy: Do Anatomical Changes Make it Worse?
dc.typeArticle

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