Prone Perkütan Nefrolitotomi

Özet

Perkütan nefrolitotomi (PNL) 2 cm üzerindeki böbrek taşlarında, çoklu böbrek taşlarında ve staghorn tipi böbrek

Abstract

Percutaneous nephrolithotomy (PNL) is the first treatment method of choice for kidney stones over 2 cm, multiplekidney stones and staghorn type kidney stones. The standard patient position in PNL is prone position. Prone positionprovides a wide area both at the entrance to the kidney and it also provides an advantage during the operation afterentering the kidney.The aim of this review is to evaluate the prone PNL with new literature.When Prone PNL and supine PNL current studies are examined, both had similar stone-free rates, similar organinjuries, urine leakage and general complication rates. Prone PNL is more prominent with its safety, efficacy and lowercomplication rates, especially in obese patients, patients with spinal anesthesia where pain palliation is important,patients requiring multiple accesses and patients scheduled for simultaneous bilateral PNL. Although the numberof studies for supine PNL is increasing due to some advantages, it is not proved that safe and more successful thanprone PNL. Prone PNL is the most preferred by many urologists because it provides easy access and dilatation collage,provides a wider operative area, is more comfortable for multiple entrances, is safe in obese or morbid obese patients,and is easier to access and is safer in anomaly kidneys such as horseshoe kidneys. It also comes to the forefront with the experience and implementation rate gained over the years. In Prone PNL, the identification of techniques that provide new accessories and the use of combined RIRS show that the method is still open to development. Therefore, it should be kept in mind that although prone PNL seems to be an old method, it is an obsolete method.

Anahtar kelimeler: perkütan nefrolitotomi, prone, supin, böbrek, taş hastalığı