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Meta-Analysis
. 2024 Sep 14;24(1):202.
doi: 10.1186/s12894-024-01583-9.

A meta analysis of the lateral decubitus position and prone position percutaneous nephrolithotomy

Du Yuan-Yao  1   2 , Cheng Shao-Ping  2 , Yuan Chang-Sheng  3
Affiliations
Meta-Analysis

A meta analysis of the lateral decubitus position and prone position percutaneous nephrolithotomy

Du Yuan-Yao et al. BMC Urol. .

Abstract

Objective To analyzed the safety and efficacy of percutaneous nephrolithotomy (PCNL) in lateral decubitus position and prone position for upper ureteral calculi. Methods Databases including PubMed, Springer, ScienceDirect, Wiley Online Library, CNKI, CSPD and VIP were searched for clinical controlled studies involved with lateral decubitus position and prone position PCNL from their establishment to November 2023.Studies were enrolled according to inclusion and exclusion criteria. the dates were compared by Review Manager 5.4 software. Results seven studies were eligible, including 807 cases. The Meta-analysis showed that, blood loss and perioperative complication rate of lateral decubitus position PCNL group were significantly different from those of the prone position PCNL group (P < 0.05). There was no significant difference between the two groups regarding hospital time, operative time, channel establishment time and stone-free rate (P>0.05).Conclusions The lateral decubitus position can reduce blood loss and perioperative complication rate. The lateral decubitus position PCNL is safe and effective for upper ureteral calculi which was deserved clinical popularizing use.

Keywords: Lateral decubitus positio; Meta-analysis; Percutaneous nephrolithotomy; Prone position.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Forest plot comparing stone-free rate of lateral decubitus and prone PCNL
Fig. 2
Fig. 2
Funnel plot of publication bias for comparison of stone-free rate between lateral decubitus and prone PCNL
Fig. 3
Fig. 3
Forest plot comparing operative time between lateral decubitus and prone PCNL
Fig. 4
Fig. 4
Funnel plot for publication bias in the comparison of operative time between lateral decubitus and prone PCNL
Fig. 5
Fig. 5
Forest plot comparing the blood loss during PCNL surgery between lateral decubitus and prone positions
Fig. 6
Fig. 6
Funnel plot comparing the publication bias for the comparison of blood loss during PCNL surgery between lateral decubitus and prone positions
Fig. 7
Fig. 7
Forest plot comparing hospital time between lateral decubitus and prone PCNL positions
Fig. 8
Fig. 8
Funnel plot comparing publication bias for the comparison of hospital time duration between lateral decubitus and prone positions for PCNL
Fig. 9
Fig. 9
Forest plot comparing the channel establishment time between lateral decubitus and prone positions for PCNL
Fig. 10
Fig. 10
Funnel plot comparing publication bias for the comparison of the channel establishment time between lateral decubitus and prone positions for PCNL
Fig. 11
Fig. 11
Forest plot comparing the total perioperative complication rate between lateral decubitus and prone positions for PCNL
Fig. 12
Fig. 12
Funnel plot comparing publication bias for the comparison of total perioperative complication rate during the perioperative period between lateral decubitus and prone positions for PCNL
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References

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