The oblique supine decubitus position: technical description and comparison of results with the prone decubitus and dorsal supine decubitus positions
Our objective was to analyze the advantages of the percutaneous nephrolithotomy in oblique supine decubitus compared to the prone and dorsal supine position. In 87 patients diagnosed with urolithiasis (495.5–530.8 mm 2 ), percutaneous nephrolithotomy (PNL) was performed from 2000 to 2011. The patien...
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Veröffentlicht in: | Urolithiasis 2012-10, Vol.40 (5), p.587-592 |
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description | Our objective was to analyze the advantages of the percutaneous nephrolithotomy in oblique supine decubitus compared to the prone and dorsal supine position. In 87 patients diagnosed with urolithiasis (495.5–530.8 mm
2
), percutaneous nephrolithotomy (PNL) was performed from 2000 to 2011. The patients were divided into three groups: Group A, 32 patients, PNL in the prone decubitus position; Group B, 24 patients, PNL in the dorsal supine position; Group C, 31 patients, PNL in the oblique supine position. We analyzed intraoperative parameters, complications, and results among the three groups. The three procedures were performed with a single access, 24-30 Ch. No statistically significant differences were found among the three groups regarding the patients’ characteristics, or the morphology or size of the kidney stone treated. The operation time was shorter in the cases of PNL in dorsal supine and oblique supine compared to the prone position. The complication rate was very similar in the three groups. The main advantage of the PNL in oblique supine compared to the dorsal supine was that the puncture could in all cases be directed by ultrasonography, with greater precision, more safety, and more control of the percutaneous renal access. The oblique supine decubitus position is a safe position for the percutaneous treatment of urolithiasis and it becomes easier when the puncture is guided by ultrasound. |
doi_str_mv | 10.1007/s00240-012-0471-5 |
format | Article |
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2
), percutaneous nephrolithotomy (PNL) was performed from 2000 to 2011. The patients were divided into three groups: Group A, 32 patients, PNL in the prone decubitus position; Group B, 24 patients, PNL in the dorsal supine position; Group C, 31 patients, PNL in the oblique supine position. We analyzed intraoperative parameters, complications, and results among the three groups. The three procedures were performed with a single access, 24-30 Ch. No statistically significant differences were found among the three groups regarding the patients’ characteristics, or the morphology or size of the kidney stone treated. The operation time was shorter in the cases of PNL in dorsal supine and oblique supine compared to the prone position. The complication rate was very similar in the three groups. The main advantage of the PNL in oblique supine compared to the dorsal supine was that the puncture could in all cases be directed by ultrasonography, with greater precision, more safety, and more control of the percutaneous renal access. The oblique supine decubitus position is a safe position for the percutaneous treatment of urolithiasis and it becomes easier when the puncture is guided by ultrasound.</description><identifier>ISSN: 0300-5623</identifier><identifier>ISSN: 2194-7228</identifier><identifier>EISSN: 1434-0879</identifier><identifier>EISSN: 2194-7236</identifier><identifier>DOI: 10.1007/s00240-012-0471-5</identifier><identifier>PMID: 22388467</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Female ; Humans ; Male ; Medical Biochemistry ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Nephrostomy, Percutaneous - methods ; Original Paper ; Patient Positioning ; Prone Position ; Retrospective Studies ; Supine Position ; Urolithiasis - surgery ; Urology</subject><ispartof>Urolithiasis, 2012-10, Vol.40 (5), p.587-592</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-25cd6f1261773aa217d344d57118f7b72ba4b955a92fedffa5673e1dc8ba67023</citedby><cites>FETCH-LOGICAL-c372t-25cd6f1261773aa217d344d57118f7b72ba4b955a92fedffa5673e1dc8ba67023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22388467$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arrabal-Martin, Miguel</creatorcontrib><creatorcontrib>Arrabal-Polo, Miguel A.</creatorcontrib><creatorcontrib>Lopez-Leon, Victor</creatorcontrib><creatorcontrib>Merino-Salas, Sergio</creatorcontrib><creatorcontrib>Palao-Yago, Francisco</creatorcontrib><creatorcontrib>Cámara-Ortega, Manuel</creatorcontrib><creatorcontrib>Zuluaga-Gomez, Armando</creatorcontrib><title>The oblique supine decubitus position: technical description and comparison of results with the prone decubitus and dorsal supine decubitus positions</title><title>Urolithiasis</title><addtitle>Urol Res</addtitle><addtitle>Urol Res</addtitle><description>Our objective was to analyze the advantages of the percutaneous nephrolithotomy in oblique supine decubitus compared to the prone and dorsal supine position. In 87 patients diagnosed with urolithiasis (495.5–530.8 mm
2
), percutaneous nephrolithotomy (PNL) was performed from 2000 to 2011. The patients were divided into three groups: Group A, 32 patients, PNL in the prone decubitus position; Group B, 24 patients, PNL in the dorsal supine position; Group C, 31 patients, PNL in the oblique supine position. We analyzed intraoperative parameters, complications, and results among the three groups. The three procedures were performed with a single access, 24-30 Ch. No statistically significant differences were found among the three groups regarding the patients’ characteristics, or the morphology or size of the kidney stone treated. The operation time was shorter in the cases of PNL in dorsal supine and oblique supine compared to the prone position. The complication rate was very similar in the three groups. The main advantage of the PNL in oblique supine compared to the dorsal supine was that the puncture could in all cases be directed by ultrasonography, with greater precision, more safety, and more control of the percutaneous renal access. The oblique supine decubitus position is a safe position for the percutaneous treatment of urolithiasis and it becomes easier when the puncture is guided by ultrasound.</description><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Biochemistry</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Original Paper</subject><subject>Patient Positioning</subject><subject>Prone Position</subject><subject>Retrospective Studies</subject><subject>Supine Position</subject><subject>Urolithiasis - surgery</subject><subject>Urology</subject><issn>0300-5623</issn><issn>2194-7228</issn><issn>1434-0879</issn><issn>2194-7236</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtLxDAUhYMoOj5-gBsJuHFTzTutOxFfILjRdUmT1Il0mprbIv4Q_68ZR0UFVyG53znnkoPQPiXHlBB9AoQwQQpCWUGEpoVcQzMquChIqat1NCOckEIqxrfQNsATIVSrim2iLcZ4WQqlZ-jtfu5xbLrwPHkM0xB6j523UxPGCfAQIYwh9qd49HbeB2u6PAWbwrB8xqZ32MbFYFKAfI0tTh6mbgT8EsY5HrP3kOIvy6XExQTZ6d842EUbrenA732eO-jh8uL-_Lq4vbu6OT-7LSzXbCyYtE61lCmqNTeGUe24EE5qSstWN5o1RjSVlKZirXdta6TS3FNny8YoTRjfQUcr37xl_gAY60UA67vO9D5OUFPCq7KUpVIZPfyDPsUp9Xm7D4rnYCYyRVeUTREg-bYeUliY9JqhetlZveqszp3Vy85qmTUHn85Ts_DuW_FVUgbYCoA86h99-hn9n-s7lpqkuA</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Arrabal-Martin, Miguel</creator><creator>Arrabal-Polo, Miguel A.</creator><creator>Lopez-Leon, Victor</creator><creator>Merino-Salas, Sergio</creator><creator>Palao-Yago, Francisco</creator><creator>Cámara-Ortega, Manuel</creator><creator>Zuluaga-Gomez, Armando</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>The oblique supine decubitus position: technical description and comparison of results with the prone decubitus and dorsal supine decubitus positions</title><author>Arrabal-Martin, Miguel ; Arrabal-Polo, Miguel A. ; Lopez-Leon, Victor ; Merino-Salas, Sergio ; Palao-Yago, Francisco ; Cámara-Ortega, Manuel ; Zuluaga-Gomez, Armando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-25cd6f1261773aa217d344d57118f7b72ba4b955a92fedffa5673e1dc8ba67023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical Biochemistry</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nephrostomy, Percutaneous - methods</topic><topic>Original Paper</topic><topic>Patient Positioning</topic><topic>Prone Position</topic><topic>Retrospective Studies</topic><topic>Supine Position</topic><topic>Urolithiasis - surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arrabal-Martin, Miguel</creatorcontrib><creatorcontrib>Arrabal-Polo, Miguel A.</creatorcontrib><creatorcontrib>Lopez-Leon, Victor</creatorcontrib><creatorcontrib>Merino-Salas, Sergio</creatorcontrib><creatorcontrib>Palao-Yago, Francisco</creatorcontrib><creatorcontrib>Cámara-Ortega, Manuel</creatorcontrib><creatorcontrib>Zuluaga-Gomez, Armando</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Urolithiasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arrabal-Martin, Miguel</au><au>Arrabal-Polo, Miguel A.</au><au>Lopez-Leon, Victor</au><au>Merino-Salas, Sergio</au><au>Palao-Yago, Francisco</au><au>Cámara-Ortega, Manuel</au><au>Zuluaga-Gomez, Armando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The oblique supine decubitus position: technical description and comparison of results with the prone decubitus and dorsal supine decubitus positions</atitle><jtitle>Urolithiasis</jtitle><stitle>Urol Res</stitle><addtitle>Urol Res</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>40</volume><issue>5</issue><spage>587</spage><epage>592</epage><pages>587-592</pages><issn>0300-5623</issn><issn>2194-7228</issn><eissn>1434-0879</eissn><eissn>2194-7236</eissn><abstract>Our objective was to analyze the advantages of the percutaneous nephrolithotomy in oblique supine decubitus compared to the prone and dorsal supine position. In 87 patients diagnosed with urolithiasis (495.5–530.8 mm
2
), percutaneous nephrolithotomy (PNL) was performed from 2000 to 2011. The patients were divided into three groups: Group A, 32 patients, PNL in the prone decubitus position; Group B, 24 patients, PNL in the dorsal supine position; Group C, 31 patients, PNL in the oblique supine position. We analyzed intraoperative parameters, complications, and results among the three groups. The three procedures were performed with a single access, 24-30 Ch. No statistically significant differences were found among the three groups regarding the patients’ characteristics, or the morphology or size of the kidney stone treated. The operation time was shorter in the cases of PNL in dorsal supine and oblique supine compared to the prone position. The complication rate was very similar in the three groups. The main advantage of the PNL in oblique supine compared to the dorsal supine was that the puncture could in all cases be directed by ultrasonography, with greater precision, more safety, and more control of the percutaneous renal access. The oblique supine decubitus position is a safe position for the percutaneous treatment of urolithiasis and it becomes easier when the puncture is guided by ultrasound.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22388467</pmid><doi>10.1007/s00240-012-0471-5</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Female Humans Male Medical Biochemistry Medicine Medicine & Public Health Middle Aged Nephrology Nephrostomy, Percutaneous - methods Original Paper Patient Positioning Prone Position Retrospective Studies Supine Position Urolithiasis - surgery Urology |
title | The oblique supine decubitus position: technical description and comparison of results with the prone decubitus and dorsal supine decubitus positions |
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