{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:34Z","timestamp":1786649314553,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate a novel, simplified technique for TRUE supine percutaneous nephrolithotomy (PCNL) that omits the use of bolsters or stirrups, utilizing a novel anatomical landmark (\u201cDixit line\u201d) for initial puncture. The outcomes of this technique are compared with those of the traditional supine PCNL approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective observational study was conducted on 400 patients who underwent supine PCNL for renal or upper ureteric stones between January 2020 and January 2024. All procedures were performed by a single urologist at a tertiary care center. Patients were divided into two groups: One treated with the novel technique and the other with the traditional technique. Data on demographics, stone characteristics, intraoperative variables, and postoperative outcomes were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The novel technique group demonstrated significantly shorter operative times (53 \u00b1 10 min vs. 70 \u00b1 15 min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), demonstrating enhanced procedural efficiency. Demographic and stone characteristics, as well as most intraoperative and postoperative outcomes, showed no significant differences between the two groups. However, the novel technique group exhibited a trend toward quicker discharge times (1.8 \u00b1 0.5 days vs. 2.1 \u00b1 0.7 days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The novel TRUE supine PCNL technique, which excludes bolsters or stirrups and uses the \u201cDixit line\u201d for initial puncture may serve as an effective alternative to traditional methods, improving efficiency while maintaining safety.<\/jats:p>\n                  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India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek Kumar","family":"Vijjan","sequence":"additional","affiliation":[{"name":"Department of Urology, Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Urology, Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amitav","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand, 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Safety, feasibility and outcomes from a tertiary endourology centre","volume":"22","author":"Kumar","year":"2024","journal-title":"Arab J Urol"},{"key":"R14-20260421","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1177\/0391560320962404","article-title":"Supine versus prone PCNL in lower calyceal stone: Comparative study in a tertiary care center","volume":"88","author":"Choudhury","year":"2021","journal-title":"Urologia"}],"container-title":["Urology 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