Comparison of Efficacy and Safety Between Supine and Prone Percutaneous Nephrolithotomy in Elderly Patients With Staghorn Kidney Stones
International Journal of Clinical Practice, cilt.2025, sa.1, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 2025 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.1155/ijcp/8841894
- Dergi Adı: International Journal of Clinical Practice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, Directory of Open Access Journals
- Anahtar Kelimeler: elderly patients, prone percutaneous nephrolithotomy, staghorn stone, supine percutaneous nephrolithotomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: In this study, we aimed to compare the efficacy, safety, and complications of percutaneous nephrolithotomy (PNL) performed in supine and prone positions in elderly patients with staghorn stones. Materials and Methods: The data of patients over 65 years who underwent PNL due to staghorn stones in the supine or prone position between 2017 and 2024 were retrospectively examined. The patients’ demographic and clinical characteristics and outcomes were compared. Then, univariate and multivariate analyses were performed to determine the factors predicting the development of complications. Results: The supine (Group 1) (n = 72) and prone (Group 2) (n = 67) PNL groups were similar in terms of mean age, gender, and BMI. The operation time, decrease in hemoglobin levels, and overall complication rates were significantly lower in Group 1 (p < 0.001, p < 0.001, and p = 0.011, respectively). Group 2 demonstrated a significantly higher transfusion requirement (p = 0.039). At the 1-month follow-up, stone-free status was achieved in 52 patients (72.2%) in Group 1 and 42 patients (62.6%) in Group 2. In multivariate analyses, the prone position and lower pole location of the stone were determined as factors predicting the development of complications. Conclusion: Supine PNL is a safe and effective treatment method with shorter operative time and lower complication rates compared to prone PNL in elderly patients.