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Percutaneous nephrolithotomy (PCNL) is an established intervention for large or ESWL-resistant renal stones in pediatric populations. While traditionally performed in the prone position, the supine position offers potential advantages, including simpler patient positioning, easier airway management, better ergonomics, and shorter operative duration. This prospective randomized trial compares the safety, efficacy, operative time, complication rates, and stone-free rates between supine and prone mini-percutaneous nephrolithotripsy (Mini-PCNL) in children under 15 years of age presenting with single renal stones measuring 10 to 30 mm.
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