Urinary calculus
Conditions
Interventions
Single-position group:The patient undergoes surgery in a single-position.
Traditional prone position group:The patient undergoes surgery in the traditional prone position.
Sponsors
The Second Hospital of Tianjin Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Signing a written informed consent form before enrollment. 2.Age >= 18 years, both males and females are eligible. 3.1) Renal pelvis or calyces single or multiple stones >= 2cm or stag horn stones 2) Patients requiring surgical treatment and have failed extracorporeal shock wave lithotripsy (ESWL) or retrograde intrarenal surgery (RIRS) for kidney stones 3) Combined with moderate to severe hydronephrosis, stones in the upper segment of the ureter with a diameter>=1.5cm, or stones in the renal pelvis-ureter junction Meeting at least one of the above conditions, and diagnosed by CT imaging; 4)Subjects voluntarily join this study, have good compliance, and cooperate with safety and survival follow-up
Exclusion criteria
Exclusion criteria: 1.Preoperative coagulation disorders or uncorrected systemic bleeding disorders. 2.Any severe cardiovascular or respiratory diseases. 3.Congenital renal abnormalities (such as horseshoe kidney, pelvic kidney, UPJO, etc.). 4.Use of anticoagulant or antiplatelet medications without discontinuation. 5.High risk of thrombotic events. 6.Patients unable to tolerate prone position surgery. 7.Subjects who have not signed the informed consent form. 8.Any other patients not suitable for entry into this study. 9.Patients planning for two-stage surgery preoperatively. 10.Pregnant patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operation time;Stone free rates; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications;Incidence of postoperative SIRS;Hospitalization expenses; | — |
Countries
China
Contacts
Public ContactChunyu Liu
The Second Hospital of Tianjin Medical University
Outcome results
None listed