Format

Send to

Choose Destination
See comment in PubMed Commons below
J Endourol. 2010 Dec;24(12):1941-6. doi: 10.1089/end.2010.0292. Epub 2010 Sep 21.

Systematic review and meta-analysis of percutaneous nephrolithotomy for patients in the supine versus prone position.

Author information

1
Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Abstract

PURPOSE:

To evaluate the efficacy and safety of percutaneous nephrolithotomy (PCNL) for patients in the supine position vs prone position.

MATERIALS AND METHODS:

Eligible studies were identified from electronic databases (Cochrane CENTRAL, Medline and EMBASE). The database search, quality assessment, and data extraction were independently performed by two reviewers. Efficacy (stone-free rate, operative time) and safety (complication, such as fever and transfusion rate) were explored by using Review Manager 5.0. Sensitivity analysis was performed to explore the influence of low-quality studies.

RESULTS:

Two randomized controlled trials and two case-control studies including 389 patients met the inclusion criteria. Meta-analysis of extractable data showed that PCNL in the supine position was associated with a significantly shorter operative time than PCNL in the prone position (mean difference: -24.84; 95% confidence interval [CI]: -34.45 to -15.23; P < 0.00001). There was no difference between the positions with regard to success rate (odds ratio [OR]: 1.16; 95% CI: 0.68-1.48; P = 0.59), complication (OR: 1.09; 95% CI: 0.67-1.80; P = 0.72), transfusion rate (OR: 2.19; 95% CI: 0.93-5.13; P = 0.07), and fever rate (OR: 0.39; 95% CI: 0.13-1.16; P = 0.09).

CONCLUSION:

PCNL in the supine position took a shorter operative time than the prone position, but both positions appeared to be equivalent with regard to the stone-free rate and complication rate, transfusion rate, and fever rate. In brief, PCNL in the supine position is as effective and safe as PCNL in the prone position and was an alternate option for removal of renal calculi in PCNL.

PMID:
20858062
DOI:
10.1089/end.2010.0292
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Mary Ann Liebert, Inc. Icon for PubMed Health
    Loading ...
    Support Center