ABSTRACT
Background and
Objective:
Percutaneous Nephrolithotomy (PCNL) is recommended for large
Kidney Stones. It is mostly done in
prone position. However, PCNL in
Supine position is another safe option. Only few centers in country are doing it and so it is challenging task to adopt supine PCNL approach in an institution initially. In this study our purpose was to assess initial experience of Supine PCNL in our center.
Methods:
It is a preliminary
retrospective study of our first fifty-one supine PCNL
procedures, performed by a single Surgeon, over Twelve months period, from April 2021 to April 2022. We managed a retrospective
review of
patients'
records.
Analysis was completed by utilizing SPSS version 20. Implementation of Mean along with standard deviation values was utilized for continuous variables. While frequency/percentages represented categorical factors.
Results:
Patients mean age was 39 years, comprising of 62.74%
male and 37.25%
female patients. Thirty
patients had their stones treated on the left side. Mean Stone burden was 3.2 cm. Most of the stones were GUYs score one and two (complexity wise). The mean
procedure time 147minutes. Mean
hospital stay of 2.17 days was observed in this study. Forty
patients were stone free. Only seven
patients (14%) had level I-II
complications (Clavien-Dindo
classification).
Conclusion:
Supine PCNL can be adopted safely in an institute if careful selection of
patients is done before
surgery. In our center it had acceptable success rates and few
complications.
