- Email: [email protected]
347 ECIRS (ENDOSCOPIC COMBINED INTRA-RENAL SURGERY) FOR UROLITHIASIS IN GALDAKAO-MODIFIED SUPINE VALDIVIA POSITION: OUR EXPERIENCE
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Poster Session 22 PERCUTANEOUS STONE REMOVAL 2 Sunday, 18 April, 12.15-13.45, Vienna Room
345
PERCUTANEOUS NEPHROLITHOTOMY FOR UROLITHIASIS IN SOLITARY KIDNEY: EARLY SURGICAL RESULTS AND LONG-TERM FUNCTIONAL OUTCOME
(O7DEH\1$0(O.HQDZ\05(UDN\(,6KRPD$06(O1DKDV$5 (O$VVP\$06KDG\6$67DUHN70$KPHG$6+DPG\+$ (O+RXVVLQ\(, Urology and Nephrology Center, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: 7KHSULPDU\FRQFHUQLQXWLOL]LQJ31/IRUPDQDJHPHQW RI VWRQHV LQ VROLWDU\ NLGQH\ LV WKH ULVN WR GHYHORS FRPSOLFDWLRQ VXFK DV VHYHUH KHPRUUKDJH WKDW PD\ QHFHVVLWDWH HPEROL]DWLRQ RU HYHQ QHSKUHFWRP\ RI VXFK VROLWDU\NLGQH\7KHRWKHUFRQFHUQLVWKHRYHUDOOHᚎHFWRI31/RQWKHUHQDOIXQFWLRQ HLWKHU GXH WR WKH GDPDJH WR WKH UHQDO SDUHQFK\PD E\ WKH VHULDO GLODWRUV RU GXH WRWKHSRVVLEOHULVNRIHPEROL]DWLRQWRPDQDJHVHYHUHEOHHGLQJ,QWKLVVWXG\RXU DLPLVWRHYDOXDWHWKHRXWFRPHRISHUFXWDQHRXVQHSKUROLWKRWRP\ 31/ IRUVROLWDU\ NLGQH\VLWVLPSDFWRQUHQDOIXQFWLRQRQORQJWHUPIROORZXSDQGWKHULVNIDFWRUVIRU UHQDOIXQFWLRQGHWHULRUDWLRQ Material & Methods: %HWZHHQ DQGSDWLHQWVZLWKVROLWDU\NLGQH\V KDUERULQJ VWRQHV XQGHUZHQW 31/ $OO SHULRSHUDWLYH HYHQWV ZHUH UHFRUGHG HVSHFLDOO\ FRPSOLFDWLRQV DQG UHVLGXDO VWRQHV 3DWLHQWV ZHUH IROORZHG UHJXODUO\ DQGZHFRQVLGHUHG\HDUVDVHQGSRLQWIRUIROORZXSHYHQZKHQORQJHUSHULRGV DUH DYDLODEOH &KDQJHV LQ WKH UHQDO IXQFWLRQ ZHUH MXGJHG E\ FRPSDULQJ WKH SUH DQGSRVWRSHUDWLYHHVWLPDWHGJORPHUXODUᚏOWUDWLRQUDWH *)5 7KHVHFKDQJHVZHUH WHVWHGLQUHODWLRQWRDOOSUHDQGSRVWRSHUDWLYHHYHQWVWRGHᚏQHWKHULVNIDFWRUVIRU UHQDOIXQFWLRQGHWHULRUDWLRQRQORQJWHUPIROORZXS Results: ,QWUDRSHUDWLYHFRPSOLFDWLRQVZHUHUHSRUWHGLQSDWLHQWV LQFOXGLQJ EOHHGLQJ DQG SHOYLF SHUIRUDWLRQ (DUO\ SRVWRSHUDWLYH FRPSOLFDWLRQV ZHUH HQFRXQWHUHGLQSDWLHQWV LQFOXGLQJSDWLHQWV ZLWKVHYHUHEOHHGLQJWKDW QHFHVVLWDWHGDQJLRHPEROL]DWLRQLQ $WGLVFKDUJHSDWLHQWV ZHUH IUHHRIVWRQHV$W\HDUIROORZXSWKHUHZDVVLJQLᚏFDQWLPSURYHPHQWRIWKHRYHUDOO HVWLPDWHG*)5IURP WRPOPLQ 3 7KLUW\RQHSDWLHQWV VKRZHG GHWHULRUDWLRQ RI WKH UHQDO IXQFWLRQ 0XOWLSOH SXQFWXUHV DQG SRVWRSHUDWLYH EOHHGLQJZHUHLQGHSHQGHQWULVNIDFWRUVIRUUHQDOIXQFWLRQGHWHULRUDWLRQ Conclusions: 6WRQHV LQ VROLWDU\ NLGQH\V FRXOG EH PDQDJHG ZLWK 31/ ZLWK KLJK VWRQH IUHH UDWH DQG DFFHSWHG UDWH RI FRPSOLFDWLRQV 7KHUH LV VLJQLᚏFDQW LPSURYHPHQWRIWKHRYHUDOOUHQDOIXQFWLRQRQORQJWHUPIROORZXS0XOWLSOHSXQFWXUHV DQGVHYHUHSRVWRSHUDWLYHEOHHGLQJDUHLQGHSHQGHQWULVNIDFWRUVIRUUHQDOIXQFWLRQ GHWHULRUDWLRQ
346
LONG-TERM RESULTS OF PERCUTANEOUS NEPHROLITHOTOMY FOR TREATMENT OF STAGHORN STONES
(OQDKDV$5(UDN\((ONHQDZ\056KRPD$06KRNHLU$$(OWDEH\1$ (ODVVP\$0(ONDSSDQ\+$,EUDKLHP(, Urology and Nephrology Center, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: 7KLV VWXG\ LV DGGUHVVLQJ WKH ORQJWHUP UHVXOWV RI SHUFXWDQHRXVQHSKUROLWKRWRP\ 31/ IRUWUHDWPHQWRIVWDJKRUQVWRQHV Material & Methods: 7KHUHFRUGVRISDWLHQWVZKRXQGHUZHQW31/IRUWUHDWPHQW RIVWDJKRUQVWRQHVEHWZHHQ-DQXDU\ DQG-DQXDU\ZHUHUHWURVSHFWLYHO\ UHYLHZHG 7KH 6WRQHIUHH VWDWXV ZDV HYDOXDWHG ZLWK QRQFRQWUDVW &7 )ROORZXS
ZLWK.8%DQGUHQDOXOWUDVRQRJUDSK\ZHUHSHUIRUPHGHYHU\PRQWKV,QWKHODVW IROORZXSYLVLWUHQDOUDGLRLVRWRSHVFDQZDVSHUIRUPHGIRUSDWLHQWVZKRKDGDOUHDG\ XQGHUJRQHWKLVVWXG\EHIRUHGRLQJ31/ Results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ᚎHUHQWLDO*)5RIDQG KDGGHFUHDVHGWRDQGUHVSHFWLYHO\+RZHYHURQO\RQHRIWKHP VKRZHGQRFRQWUDVWH[FUHWLRQE\WKHNLGQH\RQ,98 Conclusions: 7KH ORQJWHUP IXQFWLRQDO UHVXOWV RI 31/ IRU VWDJKRUQ VWRQHV DUH VDWLVIDFWRU\ DV RI NLGQH\V VKRZHG VWDEOH RU LPSURYHG *)5 /RQJWHUP IROORZXSLVPDQGDWRU\HVSHFLDOO\IRUSDWLHQWVZLWKUHVLGXDOVWRQHVEHFDXVHRIWKH KLJKUDWHRIJURZWKRIWKHP
347
ECIRS (ENDOSCOPIC COMBINED INTRA-RENAL SURGERY) FOR UROLITHIASIS IN GALDAKAO-MODIFIED SUPINE VALDIVIA POSITION: OUR EXPERIENCE
6FRᚎRQH&0&UDFFR&0&RVVX03RJJLR0*UDQGH6'L6WDVLR$ 6FDUSD50 San Luigi Hospital, Dept. of Urology, Orbassano, Italy Introduction & Objectives: 3&1/WKHJROGVWDQGDUGIRUWKHPDQDJHPHQWRIODUJH RU RWKHUZLVH FRPSOH[ XUROLWKLDVLV ZDV LQLWLDOO\ SHUIRUPHG ZLWK WKH SDWLHQW LQ WKH VXSLQHREOLTXHSRVLWLRQEXWODWHURQWKHSURQHSRVLWLRQEHFDPHWKHFRQYHQWLRQDO RQH LQ VSLWH RI LWV FDUGLR FLUFXODWRU\ UHVSLUDWRU\ DQG QHXURORJLFDO GUDZEDFNV $PRQJDOOWKHYDULRXVVDIHDQGHᚎHFWLYHFKDQJHVLQSDWLHQWSRVLWLRQLQJIRU3&1/ SURSRVHGRYHUWKH\HDUVWKH*DOGDNDRPRGLᚏHGVXSLQH9DOGLYLDSRVLWLRQVHHPV WKHPRVWSURᚏWDEOHRQHXQGHUPDQ\UHVSHFWV+HUHZHGHVFULEHRXUH[SHULHQFHRI (&,56LQ*DOGDNDRPRGLᚏHGVXSLQH9DOGLYLDSRVLWLRQ Material & Methods: )URP$SULOWR6HSWHPEHU DWRWDORIFRQVHFXWLYH (&,56 LQ *DOGDNDRPRGLᚏHG VXSLQH 9DOGLYLD SRVLWLRQ IRU ODUJH RU FRPSOH[ XUROLWKLDVLV ZHUH SHUIRUPHG $OO WKH UHODWLYH GDWD ZHUH DQDO\VHG UHWURVSHFWLYHO\ 7HFKQLFDO GHWDLOV DERXW SHUFXWDQHRXV DFFHVV HQGRVFRSLF LQVWUXPHQWV DQG DFFHVVRULHVHPSOR\HGSRVWRSHUDWLYHUHQDODQGXUHWHUDOGUDLQDJHDUHGHVFULEHG Results: 2IWKHSDWLHQWV PDOHVIHPDOHV PHDQDJHZDV\UV 6'FODVVLᚏHGDFFRUGLQJWRWKHLU%0,DQG$6$ULVNZHUHV\PSWRPDWLFIRU UHQDOFROLFVKHPDWXULDUHFXUUHQWXULQDU\WUDFWLQIHFWLRQVZLWKIHYHU0HDQVWRQHVL]H 6'ZDV PPPP$VWRVWRQHORFDWLRQZHUHFDO\FHDO SHOYLF PXOWLSOHVWDJKRUQ DOVRXUHWHUDO0HDQRSHUDWLYHWLPHZDV PLQXWHV6'5HWURJUDGHXUHWHURVFRS\ZDVHVVHQWLDOIRUFRPSOHWHQHVVRI WKHSURFHGXUHLQRIFDVHV6WRQHIUHHUDWHDIWHUWKHᚏUVWWUHDWPHQWZDV DIWHUDVHFRQGHDUO\WUHDWPHQWGXULQJWKHVDPHKRVSLWDOVWD\ PHDQ GD\V6' 7KHUHZHUHQRVSODQFKQLFLQMXULHVSRVWRSHUDWLYHKHPDWXULDV EORRGWUDQVIXVLRQVSDULHWDOKHPDWRPDDUWHURYHQRXVᚏVWXODVZKLFKXQGHUZHQW VHOHFWLYH HPEROL]DWLRQ SRVWRSHUDWLYH K\SHUWKHUPLDV DQG RQH LQWUDRSHUDWLYH K\SRWKHUPLDV Conclusions: 7KHSUHOLPLQDU\GDWDSUHVHQWHGKHUHVXJJHVWWKDW(&,56IRUODUJH DQGRU FRPSOH[ XUROLWKLDVLV SHUIRUPHG LQ WKH *DOGDNDRPRGLᚏHG VXSLQH 9DOGLYLD SRVLWLRQPDLQWDLQVLWVIHDWXUHRIVDIHDQGHᚎHFWLYHSURFHGXUHLQDGGLWLRQWRDJUHDW YHUVDWLOLW\LQWHUPVRIFRPELQHGDQWHURUHWURJUDGHDSSURDFKDKLJKUDWHRIRQHVWHS UHVROXWLRQRIWKHFDOFXORVLVDQGLQDEVHQFHRIDQDHVWKHVLRORJLFDOGLVDGYDQWDJHV RUDGGLWLRQDOFRPSOLFDWLRQV
348
SUPINE VERSUS PRONE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY: A SYSTEMATIC REVIEW
:DQJ.-:X3:DQJ/ 1 Sichuan University Huaxi Hospital, Dept. of Urology, Chengdu, China, 2West China Hospital, Dept. of Urology, Chengdu, China, 3West China Hospital, Chinese Evidence-Based Medicine Center, Chengdu, China Introduction & Objectives: 7RDVVHVVWKHHᚑFDF\DQGVDIHW\RIVXSLQHYHUVXV SURQHSRVLWLRQVLQSHUFXWDQHRXVQHSKUROLWKRWRP\IRUUHQDOFDOFXOL Material & Methods: $ V\VWHPDWLF OLWHUDWXUH UHYLHZ ZDV SHUIRUPHG VHDUFKLQJ 3XEPHG(PEDVH&(175$/DQGUHIHUHQFHOLVWVIRUUHOHYDQWVWXGLHV'DWDIURPDOO VHOHFWHGDUWLFOHVZHUHH[WUDFWHGLQGHSHQGHQWO\E\WZRUHYLHZHUVDQGDQDO\VHGE\ 6366DQG5HY0DQVRIWZDUH Results: FRPSDUDWLYHVWXGLHVLQYROYLQJ FDVHVFDVHVVHULHVLQFOXGLQJ UHQDOXQLWVRIVXSLQHJURXSDQGUHQDOXQLWVRISURQHJURXSZHUHLGHQWLᚏHG $QDO\VLV EDVHG RQ FRPSDUDWLYH VWXGLHV WKHUH ZDV QR VLJQLᚏFDQW GLᚎHUHQFH EHWZHHQVXSLQHDQGSURQHJURXSLQWHUPVRIVWRQHIUHHUDWH 55 &,
Eur Urol Suppl 2010;9(2):133
Poster Session 22 PERCUTANEOUS STONE REMOVAL 2 Sunday, 18 April, 12.15-13.45, Vienna Room
345
PERCUTANEOUS NEPHROLITHOTOMY FOR UROLITHIASIS IN SOLITARY KIDNEY: EARLY SURGICAL RESULTS AND LONG-TERM FUNCTIONAL OUTCOME
(O7DEH\1$0(O.HQDZ\05(UDN\(,6KRPD$06(O1DKDV$5 (O$VVP\$06KDG\6$67DUHN70$KPHG$6+DPG\+$ (O+RXVVLQ\(, Urology and Nephrology Center, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: 7KHSULPDU\FRQFHUQLQXWLOL]LQJ31/IRUPDQDJHPHQW RI VWRQHV LQ VROLWDU\ NLGQH\ LV WKH ULVN WR GHYHORS FRPSOLFDWLRQ VXFK DV VHYHUH KHPRUUKDJH WKDW PD\ QHFHVVLWDWH HPEROL]DWLRQ RU HYHQ QHSKUHFWRP\ RI VXFK VROLWDU\NLGQH\7KHRWKHUFRQFHUQLVWKHRYHUDOOHᚎHFWRI31/RQWKHUHQDOIXQFWLRQ HLWKHU GXH WR WKH GDPDJH WR WKH UHQDO SDUHQFK\PD E\ WKH VHULDO GLODWRUV RU GXH WRWKHSRVVLEOHULVNRIHPEROL]DWLRQWRPDQDJHVHYHUHEOHHGLQJ,QWKLVVWXG\RXU DLPLVWRHYDOXDWHWKHRXWFRPHRISHUFXWDQHRXVQHSKUROLWKRWRP\ 31/ IRUVROLWDU\ NLGQH\VLWVLPSDFWRQUHQDOIXQFWLRQRQORQJWHUPIROORZXSDQGWKHULVNIDFWRUVIRU UHQDOIXQFWLRQGHWHULRUDWLRQ Material & Methods: %HWZHHQ DQGSDWLHQWVZLWKVROLWDU\NLGQH\V KDUERULQJ VWRQHV XQGHUZHQW 31/ $OO SHULRSHUDWLYH HYHQWV ZHUH UHFRUGHG HVSHFLDOO\ FRPSOLFDWLRQV DQG UHVLGXDO VWRQHV 3DWLHQWV ZHUH IROORZHG UHJXODUO\ DQGZHFRQVLGHUHG\HDUVDVHQGSRLQWIRUIROORZXSHYHQZKHQORQJHUSHULRGV DUH DYDLODEOH &KDQJHV LQ WKH UHQDO IXQFWLRQ ZHUH MXGJHG E\ FRPSDULQJ WKH SUH DQGSRVWRSHUDWLYHHVWLPDWHGJORPHUXODUᚏOWUDWLRQUDWH *)5 7KHVHFKDQJHVZHUH WHVWHGLQUHODWLRQWRDOOSUHDQGSRVWRSHUDWLYHHYHQWVWRGHᚏQHWKHULVNIDFWRUVIRU UHQDOIXQFWLRQGHWHULRUDWLRQRQORQJWHUPIROORZXS Results: ,QWUDRSHUDWLYHFRPSOLFDWLRQVZHUHUHSRUWHGLQSDWLHQWV LQFOXGLQJ EOHHGLQJ DQG SHOYLF SHUIRUDWLRQ (DUO\ SRVWRSHUDWLYH FRPSOLFDWLRQV ZHUH HQFRXQWHUHGLQSDWLHQWV LQFOXGLQJSDWLHQWV ZLWKVHYHUHEOHHGLQJWKDW QHFHVVLWDWHGDQJLRHPEROL]DWLRQLQ $WGLVFKDUJHSDWLHQWV ZHUH IUHHRIVWRQHV$W\HDUIROORZXSWKHUHZDVVLJQLᚏFDQWLPSURYHPHQWRIWKHRYHUDOO HVWLPDWHG*)5IURP WRPOPLQ 3 7KLUW\RQHSDWLHQWV VKRZHG GHWHULRUDWLRQ RI WKH UHQDO IXQFWLRQ 0XOWLSOH SXQFWXUHV DQG SRVWRSHUDWLYH EOHHGLQJZHUHLQGHSHQGHQWULVNIDFWRUVIRUUHQDOIXQFWLRQGHWHULRUDWLRQ Conclusions: 6WRQHV LQ VROLWDU\ NLGQH\V FRXOG EH PDQDJHG ZLWK 31/ ZLWK KLJK VWRQH IUHH UDWH DQG DFFHSWHG UDWH RI FRPSOLFDWLRQV 7KHUH LV VLJQLᚏFDQW LPSURYHPHQWRIWKHRYHUDOOUHQDOIXQFWLRQRQORQJWHUPIROORZXS0XOWLSOHSXQFWXUHV DQGVHYHUHSRVWRSHUDWLYHEOHHGLQJDUHLQGHSHQGHQWULVNIDFWRUVIRUUHQDOIXQFWLRQ GHWHULRUDWLRQ
346
LONG-TERM RESULTS OF PERCUTANEOUS NEPHROLITHOTOMY FOR TREATMENT OF STAGHORN STONES
(OQDKDV$5(UDN\((ONHQDZ\056KRPD$06KRNHLU$$(OWDEH\1$ (ODVVP\$0(ONDSSDQ\+$,EUDKLHP(, Urology and Nephrology Center, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: 7KLV VWXG\ LV DGGUHVVLQJ WKH ORQJWHUP UHVXOWV RI SHUFXWDQHRXVQHSKUROLWKRWRP\ 31/ IRUWUHDWPHQWRIVWDJKRUQVWRQHV Material & Methods: 7KHUHFRUGVRISDWLHQWVZKRXQGHUZHQW31/IRUWUHDWPHQW RIVWDJKRUQVWRQHVEHWZHHQ-DQXDU\ DQG-DQXDU\ZHUHUHWURVSHFWLYHO\ UHYLHZHG 7KH 6WRQHIUHH VWDWXV ZDV HYDOXDWHG ZLWK QRQFRQWUDVW &7 )ROORZXS
ZLWK.8%DQGUHQDOXOWUDVRQRJUDSK\ZHUHSHUIRUPHGHYHU\PRQWKV,QWKHODVW IROORZXSYLVLWUHQDOUDGLRLVRWRSHVFDQZDVSHUIRUPHGIRUSDWLHQWVZKRKDGDOUHDG\ XQGHUJRQHWKLVVWXG\EHIRUHGRLQJ31/ Results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ᚎHUHQWLDO*)5RIDQG KDGGHFUHDVHGWRDQGUHVSHFWLYHO\+RZHYHURQO\RQHRIWKHP VKRZHGQRFRQWUDVWH[FUHWLRQE\WKHNLGQH\RQ,98 Conclusions: 7KH ORQJWHUP IXQFWLRQDO UHVXOWV RI 31/ IRU VWDJKRUQ VWRQHV DUH VDWLVIDFWRU\ DV RI NLGQH\V VKRZHG VWDEOH RU LPSURYHG *)5 /RQJWHUP IROORZXSLVPDQGDWRU\HVSHFLDOO\IRUSDWLHQWVZLWKUHVLGXDOVWRQHVEHFDXVHRIWKH KLJKUDWHRIJURZWKRIWKHP
347
ECIRS (ENDOSCOPIC COMBINED INTRA-RENAL SURGERY) FOR UROLITHIASIS IN GALDAKAO-MODIFIED SUPINE VALDIVIA POSITION: OUR EXPERIENCE
6FRᚎRQH&0&UDFFR&0&RVVX03RJJLR0*UDQGH6'L6WDVLR$ 6FDUSD50 San Luigi Hospital, Dept. of Urology, Orbassano, Italy Introduction & Objectives: 3&1/WKHJROGVWDQGDUGIRUWKHPDQDJHPHQWRIODUJH RU RWKHUZLVH FRPSOH[ XUROLWKLDVLV ZDV LQLWLDOO\ SHUIRUPHG ZLWK WKH SDWLHQW LQ WKH VXSLQHREOLTXHSRVLWLRQEXWODWHURQWKHSURQHSRVLWLRQEHFDPHWKHFRQYHQWLRQDO RQH LQ VSLWH RI LWV FDUGLR FLUFXODWRU\ UHVSLUDWRU\ DQG QHXURORJLFDO GUDZEDFNV $PRQJDOOWKHYDULRXVVDIHDQGHᚎHFWLYHFKDQJHVLQSDWLHQWSRVLWLRQLQJIRU3&1/ SURSRVHGRYHUWKH\HDUVWKH*DOGDNDRPRGLᚏHGVXSLQH9DOGLYLDSRVLWLRQVHHPV WKHPRVWSURᚏWDEOHRQHXQGHUPDQ\UHVSHFWV+HUHZHGHVFULEHRXUH[SHULHQFHRI (&,56LQ*DOGDNDRPRGLᚏHGVXSLQH9DOGLYLDSRVLWLRQ Material & Methods: )URP$SULOWR6HSWHPEHU DWRWDORIFRQVHFXWLYH (&,56 LQ *DOGDNDRPRGLᚏHG VXSLQH 9DOGLYLD SRVLWLRQ IRU ODUJH RU FRPSOH[ XUROLWKLDVLV ZHUH SHUIRUPHG $OO WKH UHODWLYH GDWD ZHUH DQDO\VHG UHWURVSHFWLYHO\ 7HFKQLFDO GHWDLOV DERXW SHUFXWDQHRXV DFFHVV HQGRVFRSLF LQVWUXPHQWV DQG DFFHVVRULHVHPSOR\HGSRVWRSHUDWLYHUHQDODQGXUHWHUDOGUDLQDJHDUHGHVFULEHG Results: 2IWKHSDWLHQWV PDOHVIHPDOHV PHDQDJHZDV\UV 6'FODVVLᚏHGDFFRUGLQJWRWKHLU%0,DQG$6$ULVNZHUHV\PSWRPDWLFIRU UHQDOFROLFVKHPDWXULDUHFXUUHQWXULQDU\WUDFWLQIHFWLRQVZLWKIHYHU0HDQVWRQHVL]H 6'ZDV PPPP$VWRVWRQHORFDWLRQZHUHFDO\FHDO SHOYLF PXOWLSOHVWDJKRUQ DOVRXUHWHUDO0HDQRSHUDWLYHWLPHZDV PLQXWHV6'5HWURJUDGHXUHWHURVFRS\ZDVHVVHQWLDOIRUFRPSOHWHQHVVRI WKHSURFHGXUHLQRIFDVHV6WRQHIUHHUDWHDIWHUWKHᚏUVWWUHDWPHQWZDV DIWHUDVHFRQGHDUO\WUHDWPHQWGXULQJWKHVDPHKRVSLWDOVWD\ PHDQ GD\V6' 7KHUHZHUHQRVSODQFKQLFLQMXULHVSRVWRSHUDWLYHKHPDWXULDV EORRGWUDQVIXVLRQVSDULHWDOKHPDWRPDDUWHURYHQRXVᚏVWXODVZKLFKXQGHUZHQW VHOHFWLYH HPEROL]DWLRQ SRVWRSHUDWLYH K\SHUWKHUPLDV DQG RQH LQWUDRSHUDWLYH K\SRWKHUPLDV Conclusions: 7KHSUHOLPLQDU\GDWDSUHVHQWHGKHUHVXJJHVWWKDW(&,56IRUODUJH DQGRU FRPSOH[ XUROLWKLDVLV SHUIRUPHG LQ WKH *DOGDNDRPRGLᚏHG VXSLQH 9DOGLYLD SRVLWLRQPDLQWDLQVLWVIHDWXUHRIVDIHDQGHᚎHFWLYHSURFHGXUHLQDGGLWLRQWRDJUHDW YHUVDWLOLW\LQWHUPVRIFRPELQHGDQWHURUHWURJUDGHDSSURDFKDKLJKUDWHRIRQHVWHS UHVROXWLRQRIWKHFDOFXORVLVDQGLQDEVHQFHRIDQDHVWKHVLRORJLFDOGLVDGYDQWDJHV RUDGGLWLRQDOFRPSOLFDWLRQV
348
SUPINE VERSUS PRONE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY: A SYSTEMATIC REVIEW
:DQJ.-:X3:DQJ/ 1 Sichuan University Huaxi Hospital, Dept. of Urology, Chengdu, China, 2West China Hospital, Dept. of Urology, Chengdu, China, 3West China Hospital, Chinese Evidence-Based Medicine Center, Chengdu, China Introduction & Objectives: 7RDVVHVVWKHHᚑFDF\DQGVDIHW\RIVXSLQHYHUVXV SURQHSRVLWLRQVLQSHUFXWDQHRXVQHSKUROLWKRWRP\IRUUHQDOFDOFXOL Material & Methods: $ V\VWHPDWLF OLWHUDWXUH UHYLHZ ZDV SHUIRUPHG VHDUFKLQJ 3XEPHG(PEDVH&(175$/DQGUHIHUHQFHOLVWVIRUUHOHYDQWVWXGLHV'DWDIURPDOO VHOHFWHGDUWLFOHVZHUHH[WUDFWHGLQGHSHQGHQWO\E\WZRUHYLHZHUVDQGDQDO\VHGE\ 6366DQG5HY0DQVRIWZDUH Results: FRPSDUDWLYHVWXGLHVLQYROYLQJ FDVHVFDVHVVHULHVLQFOXGLQJ UHQDOXQLWVRIVXSLQHJURXSDQGUHQDOXQLWVRISURQHJURXSZHUHLGHQWLᚏHG $QDO\VLV EDVHG RQ FRPSDUDWLYH VWXGLHV WKHUH ZDV QR VLJQLᚏFDQW GLᚎHUHQFH EHWZHHQVXSLQHDQGSURQHJURXSLQWHUPVRIVWRQHIUHHUDWH 55 &,
Eur Urol Suppl 2010;9(2):133