Renal calculus
Conditions
Interventions
ERAS group:Perioperative preparation of the concept of ERAS
Tubeless group:No nephrostomy after operation
Sponsors
The First Affiliated Hospital of Nanhua University
Eligibility
Sex/Gender
All
Age
16 Years to 85 Years
Inclusion criteria
Inclusion criteria: (1) Upper urinary calculi were diagnosed by kub or abdominal CT, and PCNL was used as the operative plan; (2) ASA (American Society of anesthesiologists) grades I and II; (3) Aged 16-85 years; *For the diagnosis and grading standards of chronic diseases in internal medicine, please refer to the 8th edition of Internal Medicine published by the people's Health Press.
Exclusion criteria
Exclusion criteria: (1) Patients with massive intrarenal calculi (> 4cm) and multiple calculi in bilateral upper urinary tract were excluded (2) Severe upper urinary tract malformations such as horseshoe kidney malformation, ureteropelvic stricture (UPJO), megaureterism (POM) and other patients with calculi were excluded (3) To exclude the patients with uncontrollable septic shock and dangerous condition, high mortality, who need to be placed in an emergency tube or fistula (4) Exclude the patients with the history of upper urinary tract operation on the same side in the past year (5) As for the patients with severe complications such as massive hemorrhage, renal organ injury and renal vascular injury caused by the operation technology, the evaluation of the effect of ERAS will be seriously affected, and they need to be out of the group in time. (6) The failure of PCNL operation and the correction of clinical diagnosis or operation mode; (7) uncontrolled renal insufficiency (CDK grade >=3); (8) uncontrolled diabetes mellitus (postprandial blood glucose >=11.1mmol/l); (9) uncontrolled hypertension (systolic pressure >=140mmHg and diastolic pressure >=100mmhg); (10) uncontrolled cardiac insufficiency (NYHA grade >=3); (11) uncontrolled COPD (MRC >=3); (12) Patients without or with septic shock under control; (13) pregnant and psychotic patients can't cooperate with surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Stone removal rate;systemic inflammatory response syndrome;hemorrhage;Time of indwelling nephrostomy and catheter;Postoperative hospital stay;Total hospital expenses; | — |
Countries
China
Contacts
Public ContactLi Qing
The First Affiliated Hospital of Nanhua University
Outcome results
None listed