Comparison of GMSV position and prone position in percutaneous nephroscopic surgery:a Meta-analysis
10.3969/j.issn.1009-8291.2023.12.013
- VernacularTitle:GMSV体位与俯卧位在经皮肾镜手术中应用的疗效比较Meta分析
- Author:
Shengnan LIU
1
;
Yongdong PAN
1
;
Guofeng XU
1
Author Information
1. Department of Pediatric Surgery, Affiliated Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200092, China
- Publication Type:Journal Article
- Keywords:
kidney stone;
percutaneous nephrolithotomy;
position;
modified supine position;
Meta-analysis;
case-control studies;
randomized control trials
- From:
Journal of Modern Urology
2023;28(12):1069-1074
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To evaluate the efficacy and safety of percutaneous nephrolithotomy in Galdakao-modified supine Valdivia (GMSV) position and prone position in the treatment of renal calculi. 【Methods】 PubMed, Embase and Cochrane Library databases were searched systematically to identify all eligible studies. Literature collected were screened and data were extracted by three authors independently. RevMan5.4 software was used for Meta-analysis. 【Results】 A total of 9 articles were enrolled, including 7 randomized controlled studies and 2 case-control studies, with a total of 1 690 patients. The results of Meta-analysis showed that compared with the prone position group, the GMSV group had shorter hospital stay (WMD:-9.04, 95%CI:-16.85--1.22, P=0.02), shorter intraoperative radiation exposure (WMD:-1.23, 95%CI:-1.98--0.48, P=0.001), lower rate of complications (RR:0.72, 95%CI:0.59-0.88, P=0.001), but there were no significant differences in operation time, primary stone clearance rate, postoperative hemoglobin loss, blood transfusion rate, fever rate and non-tubulization rate. 【Conclusion】 Compared with percutaneous nephrolithotomy in prone position, percutaneous nephrolithotomy in GMSV position has the comparable stone clearance rate, but has significant advantages in hospital stay, intraoperative radiation time, and overall complications. It is safe for the treatment of renal stones and upper ureteral stones.
