Your browser doesn't support javascript.
loading
Which Position for Novice Surgeons? Effect of Supine and Prone Positions on Percutaneous Nephrolithotomy Learning Curve.
Bulut, Ender Cem; Aydin, Ugur; Coskun, Çagri; Çetin, Serhat; Ünsal, Ali; Polat, Fazli; Küpeli, Bora.
Afiliación
  • Bulut EC; Urology Department, School of Medicine, Gazi University, Ankara 06560, Turkey.
  • Aydin U; Urology Department, Agri Training and Research Hospital, Agri 04200, Turkey.
  • Coskun Ç; Urology Department, Agri Training and Research Hospital, Agri 04200, Turkey.
  • Çetin S; Urology Department, School of Medicine, Gazi University, Ankara 06560, Turkey.
  • Ünsal A; Urology Department, School of Medicine, Gazi University, Ankara 06560, Turkey.
  • Polat F; Urology Department, School of Medicine, Gazi University, Ankara 06560, Turkey.
  • Küpeli B; Urology Department, School of Medicine, Gazi University, Ankara 06560, Turkey.
Medicina (Kaunas) ; 60(8)2024 Aug 10.
Article en En | MEDLINE | ID: mdl-39202573
ABSTRACT
Background and

Objectives:

Percutaneous nephrolithotomy (PCNL) is a current treatment method with high success rates and low complication rates in treating large kidney stones. It can be conducted in different positions, especially supine and prone positions. PCNL in the supine position is becoming increasingly common due to its advantages, such as simultaneous retrograde intervention and better anesthesia management. This study aimed to assess how the choice of position impacts the PCNL learning curve. Materials and

Methods:

The results of the first 50 consecutive PCNL cases performed by two separate chief residents as primary surgeons in supine and prone positions in a reference center for stone treatment between August 2021 and January 2023 were evaluated. The two groups' demographic and clinical data, stone-free rates, operation times, and fluoroscopy times were compared.

Results:

While the mean operation time was 94.6 ± 9.8 min in the supine PCNL group, it was 129.9 ± 20.3 min in the prone PCNL group (p < 0.001). Median fluoroscopy times in the supine PCNL and prone PCNL groups were 31 (10-89) seconds and 48 (23-156) seconds, respectively (p = 0.001). During the operation, the plateau was reached after the 10th case in the supine PCNL group, while it was reached after the 40th case in the prone PCNL group.

Conclusions:

For surgeons who are novices in performing PCNL, supine PCNL may offer both better results and a faster learning curve. Prospective and randomized studies can provide more robust conclusions on this subject.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Curva de Aprendizaje / Nefrolitotomía Percutánea Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Curva de Aprendizaje / Nefrolitotomía Percutánea Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza