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Comparison of hemodynamic and respiratory outcomes between two surgical positions for percutaneous nephrolithotomy: a prospective, randomized clinical trial.

Author: ArslanG, Dalkilinc HokenekU, Dogu GeyikF, EryildirimB, OzcanT, Sayin KartJ, Tolga SaracogluK

Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

This study compared the efficacy and safety of percutaneous nephrolithotomy in the flank versus prone position. The study found that the flank position was associated with better respiratory parameters, less blood loss, and a shorter operation time. The study concluded that the flank position is a viable option for percutaneous nephrolithotomy, but the choice of position should be tailored to individual patient factors and surgeon experience.
Paper Details　
Original Abstract of the Article :
INTRODUCTION: Percutaneous nephrolithotomy (PCNL) has become the gold standard for the treatment of large and complex kidney stones. OBJECTIVES: The objective of this study is to evaluate the efficacy and safety of percutaneous nephrolithotomy (PCNL) for patients in the flank position versus prone ...See full text at original site
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引用元：
https://doi.org/10.1016/j.acuroe.2023.04.002

データ提供：米国国立医学図書館（NLM）

Positioning for Percutaneous Nephrolithotomy

This study compares two surgical positions, flank and prone, for percutaneous nephrolithotomy (PCNL), a procedure used to remove kidney stones. It's like choosing the best path through a rocky desert landscape to reach the desired destination. The study aims to determine which position is safer and more effective for patients undergoing this procedure. It's like comparing two different types of camels, each adapted to different terrains, to find the most suitable one for the journey ahead.

The study found that the flank position may be preferable for PCNL operations, considering the patient's anatomy and physiological factors. This is like choosing a camel that can navigate the terrain effectively and is well-suited to the specific challenges of the journey.

The Importance of Surgical Technique

This study emphasizes the importance of choosing the appropriate surgical position based on the individual patient's needs. Just as a skilled camel driver chooses the best route based on the terrain and the camel's capabilities, a surgeon must carefully consider the patient's anatomy and physiology when making decisions about positioning. This personalized approach can lead to better surgical outcomes.

Implications for Patient Care

This research provides valuable insights for surgeons performing PCNL. By carefully considering the patient's characteristics and choosing the optimal surgical position, they can improve patient safety and minimize potential complications. This is like using a well-equipped caravan to navigate the desert, ensuring a safe and successful journey for all.

Dr. Camel's Conclusion

This study underscores the importance of a personalized approach to surgery. Just as a wise traveler chooses the most suitable camel for their journey, surgeons must carefully consider the individual patient's needs to optimize surgical outcomes and ensure the best possible care.

Date :
  1. Date Completed 2023-10-05
  2. Date Revised 2023-10-05
Further Info :

Pubmed ID

37084806

DOI: Digital Object Identifier

10.1016/j.acuroe.2023.04.002

Related Literature

Article Analysis
・Effective treatment of kidney stones
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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