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• W4246524083 abstract "You have accessJournal of UrologyStone Disease: New Technology/SWL, Ureteroscopic or Percutaneous Stone Removal1 Apr 20111820 INTERNATIONAL COOPERATION IN ENDOUROLOGY: SUPINE VS. PRONE PERCUTANEOUS NEPHROLITHOTOMY IN OBESE PATIENTS Francesco Sanguedolce, Cecilia Cracco, Susanna Grande, Cesare Scoffone, Panagiotis Kallidonis, Evangelos LIatsikos, Raimundas Sabockis, Marianne Brehmer, Jan Jessen, Thomas Knoll, Matthias Franke, Palle Osther, Olivier Traxer, Thomas Hermann, Axel Merseburger, Udo Nagele, Felix Millán, and Alberto Breda Francesco SanguedolceFrancesco Sanguedolce Barcelona, Spain More articles by this author , Cecilia CraccoCecilia Cracco Turín, Italy More articles by this author , Susanna GrandeSusanna Grande Turín, Italy More articles by this author , Cesare ScoffoneCesare Scoffone Turín, Italy More articles by this author , Panagiotis KallidonisPanagiotis Kallidonis Patras, Greece More articles by this author , Evangelos LIatsikosEvangelos LIatsikos Patras, Greece More articles by this author , Raimundas SabockisRaimundas Sabockis Stockholm, Sweden More articles by this author , Marianne BrehmerMarianne Brehmer Stockholm, Sweden More articles by this author , Jan JessenJan Jessen Germany, Germany More articles by this author , Thomas KnollThomas Knoll Germany, Germany More articles by this author , Matthias FrankeMatthias Franke Fredericia, Denmark More articles by this author , Palle OstherPalle Osther Fredericia, Denmark More articles by this author , Olivier TraxerOlivier Traxer Paris, France More articles by this author , Thomas HermannThomas Hermann Hannover, Germany More articles by this author , Axel MerseburgerAxel Merseburger Hannover, Germany More articles by this author , Udo NageleUdo Nagele Austria, Austria More articles by this author , Felix MillánFelix Millán Barcelona, Spain More articles by this author , and Alberto BredaAlberto Breda Barcelona, Spain More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1839AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Obesity places patients at a high risk for both anesthesiological and surgical complications. The objective of this study was to assess the outcomes and safety of supine and prone percutaneous renal surgery in obese patients. METHODS A database was created and the centers retrospectively entered their data related to PCNL management of intrarenal kidney stones. Patients included were treated between January 2005 and January 2010. Variables analyzed included case load number, BMI, prone vs. supine position, access site, access dilation size, type of instrumentation, type of lithotripter, stone burden, operative time, stone free rate, and complication rate. Stone free rate was defined as no residual fragments, or single fragment <2 mm in size at follow-up imaging. For the purpose of this study, only patients with BMI ¡Ý 30 were evaluated. RESULTS 350 PCNLs were collected. Of these, 55 (15.7%) PCNLs met the criteria for BMI iÝ 30. Overall there were 51 patients (93%) with a BMI included between 30 and 40 and 5 patients (7%) with a BMI> 40. There were 35 males (64%) and 20 females (36%). 28 (51%) and 27 (49%) cases were performed in the prone and supine position, respectively. The mean BMI in the prone position group was 34iÀ5 kg/m2 and was 33iÀ3.6 kg/m2 in the supine position group (p=0.3).There was no statistically significant difference between the two groups for access site, number of accesses, dilation size, nephroscopes size and type, lithotripter used, operative time and hospital stay. There were a higher number of renal pelvic stones in the supine than in the prone position group (61.5% vs. 33. 3%, p=0.04). Overall the mean stone burden was 3.03iÀ1.9 cm2 as documented by preoperative CT scan with no statistically significant difference in the two groups (p=0.4). Stone clearance was 93% and 89% in the prone and supine group respectively (p=0.6). There were two major complications for both groups (7 and 7.4%) (p=0.9). However no anesthesiological, cardiological or bowel complications were reported. CONCLUSIONS The data highlight the high success rate of both supine and prone PCNL in obese and morbidly obese patients. Furthermore, both the supine and prone positions appear to be safe in this population. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e730 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Francesco Sanguedolce Barcelona, Spain More articles by this author Cecilia Cracco Turín, Italy More articles by this author Susanna Grande Turín, Italy More articles by this author Cesare Scoffone Turín, Italy More articles by this author Panagiotis Kallidonis Patras, Greece More articles by this author Evangelos LIatsikos Patras, Greece More articles by this author Raimundas Sabockis Stockholm, Sweden More articles by this author Marianne Brehmer Stockholm, Sweden More articles by this author Jan Jessen Germany, Germany More articles by this author Thomas Knoll Germany, Germany More articles by this author Matthias Franke Fredericia, Denmark More articles by this author Palle Osther Fredericia, Denmark More articles by this author Olivier Traxer Paris, France More articles by this author Thomas Hermann Hannover, Germany More articles by this author Axel Merseburger Hannover, Germany More articles by this author Udo Nagele Austria, Austria More articles by this author Felix Millán Barcelona, Spain More articles by this author Alberto Breda Barcelona, Spain More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ..." @default.
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• W4246524083 title "1820 INTERNATIONAL COOPERATION IN ENDOUROLOGY: SUPINE VS. PRONE PERCUTANEOUS NEPHROLITHOTOMY IN OBESE PATIENTS" @default.
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