Comparison of efficacy and complications of PCNL under General and Spinal anesthesia
- Conditions
- Renal and ureteral stones.Calculus of kidney with calculus of ureter
- Registration Number
- IRCT138707201323N1
- Lead Sponsor
- Research manager, Yasuj University of Medical Sciences
- Brief Summary
Background: The aim of this study is Comparison of efficacy, complications and patient satisfaction from percutaneous nephrolithotomy (PCNL) in prone and supine position under spinal anesthesia.<br /> Materials and methods: In this clinical trial 60 patients candidate for PCNL after taking consent form ‚ randomly assigned in two groups. In group 1 PCNL was done in supine position under spinal anesthesia by standard method. In group 2 after changing patients to prone position PCNL was done as first group.<br /> <br /> <br /> In both groups after operation patients satisfaction from position during operation was checked by Beck scale. Two weeks later patients again visit and efficacy of operation checked by KUB and ultrasonography. All data records and analysed by SPSS software and statistical Tests.<br /> Results: Mean operative time was similar in the two groups (112±24.5 minute in supine and 109±19.7 minute in prone) (p=0.18)<br /> The mean hospital stay in supine position and prone position were 2.44±1.02 and 2.12 ±0.56 days respectively (p>0.05). The patient’s satisfaction was more from operation in supine position (89.7 %in supine and 61.4 in prone position (P=0.018).<br /> There was no significant differences between the supine and prone position in complications (p=0.3). Considering efficacy and success of operation in supine and prone position it was 69% and 58.4% respectively (p=0.195).<br /> Conclusion: PCNL in supine position is a safe procedure and with similar performance compared to standard prone position for treatment of urolithiasis and patient 'satisfaction is more from this position although more studies with larger sample size are necessary<br /> Key word: percutaneous nephrolithotomy‚position‚efficacy‚complications<br />
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 1
Age more than 18 years, presence of renal or upper ureteral stone, candidate for PCNL (multiple stones, staghorn stones, calyceal diverticule stones, stone which are resistant to ESWL, lower pole renal stone larger than >15 mm and other renal stone larger than 25 mm, upper ureteral stone >20mm, Having informed consent
Exclusion criteria: Any contraindication for regional anesthesia, presence of coagulopathy, acute infection ore urosepsis, presence of acute renal failure
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Success rate of operation. Timepoint: during operation and two week later. Method of measurement: observation by nephroscope and fluroscopy during operation and with sonography and KUB two weeks later.
- Secondary Outcome Measures
Name Time Method Any complications of surgery. Timepoint: during operation to one week later. Method of measurement: report of patients and observation with examination of patients.