Patient positioning during percutaneous nephrolithotomy (PCNL): is there an optimal position?

Panagiotis Mourmouris, Marinos Berdempes, Titos Markopoulos, Lazaros Lazarou, Lazaros Tzelves, Andreas Skolarikos


Percutaneous nephrolithotomy (PNL) is the gold standard procedure
for large stones and complex kidney anatomy, but in the
same time its morbidity remains the highest among stone treatment
procedures. In pursuit of minimizing complication rates
surgeons have developed different variations of the classic prone
position but in the same time and with the same goal, supine position
was introduced. In our study, we review the literature about
all available evidence on different variations in positioning during
PCNL, in an effort to clarify if there is a position that makes the
difference in terms of minimizing the morbidity of this procedure.


percutaneous nephrolithotomy;prone;supine;complications

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