Urology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Urology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt -
Minerva Urol Nephrol. 2024 Feb;76(1):81-87. doi: 10.23736/S2724-6051.23.05496-4.
The aim is to evaluate supine versus prone position in mini-percutaneous nephrolithotomy in pediatric renal urolithiasis management.
A randomized controlled trial was constructed to evaluate supine versus prone position in pediatric PCNL. Seventy pediatric patients with a stone burden ≥1.5 cm were randomized into two groups.
Sixty-three patients were available for evaluation in our study with no significant difference in the perioperative demographic data. The supine group showed a shorter operation time of 43.9 min compared to 73.5 min in the prone group. The stone-free rate was higher in the supine group, with a 93.9% SFR compared to 83.3% in the prone group. The supine group showed a shorter hospital stay of 2.0±1.0 days, compared to 3.20±1.56 days in the prone group. No significant difference was seen in the perioperative complication rate and fluoroscopy time between both groups.
Supine mini-percutaneous nephrolithotomy is safe and effective in managing pediatric renal stones, with a higher stone-free rate, less operative time, and less hospital stay compared to the prone position.
本研究旨在评估经皮肾镜碎石术（PCNL）中小儿肾结石处理中仰卧位与俯卧位的效果。
本研究采用随机对照试验评估了 PCNL 中仰卧位与俯卧位的效果。将 70 例结石负荷≥1.5cm 的小儿肾结石患者随机分为两组。
本研究共有 63 例患者可进行评估，围手术期的人口统计学数据无显著差异。仰卧位组的手术时间为 43.9 分钟，明显短于俯卧位组的 73.5 分钟。仰卧位组的结石清除率更高，结石清除率为 93.9%，明显高于俯卧位组的 83.3%。仰卧位组的住院时间为 2.0±1.0 天，明显短于俯卧位组的 3.20±1.56 天。两组的围手术期并发症发生率和透视时间无显著差异。
仰卧位微创经皮肾镜碎石术治疗小儿肾结石安全有效，结石清除率更高，手术时间更短，住院时间更短，优于俯卧位。
