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MINERVA UROLOGICA E NEFROLOGICA

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REVIEWS  ADVANCED TOPICS IN THE TREATMENT OF LARGE RENAL STONES


Minerva Urologica e Nefrologica 2015 Dicembre;67(4):325-33

lingua: Inglese

Supine versus prone position for percutaneous nephrolithotomy

Salvadó J. A. 1, Mendez C. E. 2

1 Department of Urology, Pontificia Universidad Católica de Chile, Santiago, Chile;
2 Department of Urology, Instituto Nacional de Ciencias Medicas y Nutrición, Salvador Zubiràn, Tlalpan D. F., México


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Percutaneous nephrolithotripsy (PCNL) is today gold standard for the management of complex urinary calculi. Over its lifespan this surgery has been subjected to multiple modifications and variants: for example, the anatomical positioning of the patient is still under controversy, especially the opposition amongst the prone and supine approaches, the two most common patient positions currently used for PCNL. Our objective was to review the literature and to discuss advantages and drawbacks from either technique.

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jsalvado@med.puc.cl