Prone versus supine PNL: Results and published series

Abstract

There is still much controversy in the literature concerning the optimal approach for PNL. Although prone PNL remains predominant on a global level, with a superior acquired experience and more training opportunities when compared to supine position, supine PNL is increasingly used and it is now quite consensual that it allows an easier management from the anaesthesiological point of view and may reduce patient morbidity. The available randomized studies demonstrate that in centers which already standardized the supine technique, this procedure may be more ergonomic and quicker and equally efficient in terms of stone clearance and morbidity.