Stones, Kidney
Conditions
Brief summary
currently, percutaneous nephrolithotomy (PCNL) is the standard procedure of choice for management of large renal more than 2 cm. the pivotal step in performing PCNL is creation of proper tract. this step can be done monitored under guidance of different modalities such as fluoroscopy, ultrasonography, endoscopy or combined in ECIRS, tract creation is controlled under endoscopic vision with a flexible ureteroscope .
Detailed description
Aim: compare safety and efficacy and adverse events of ECIRS in comparison of standard fluoroscopic guided PCNL. patients & methods: Patients will randomly be divided into two equal groups: Group A: Patient will undergo ECIRS. Group B: Patient will undergo standard PCNL
Interventions
PROCEDUREEndoscopic compbined guided PCNL
patient undergo stone removal by ECIRS
PROCEDUREStandard PCNL
patient undergo SPCNL
Sponsors
Benha University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* patients with renal stones diameter of at least 2 cm. * American Society of Anesthesiology score ≤ 2.
Exclusion criteria
* patients with renal anomalies. * transplanted kidney. * uncorrected coagulopathy. * active infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stone Free Rate | 1day after operation. | If their is any residual stones |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | intra oprative | the length of operation |
| blood loss | pre-operative and 1 day post-oprative | hemoglobin drop |
Countries
Egypt
Contacts
Primary ContactWaleed El-Shaer, M.D
Outcome results
None listed