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Robotic assisted percutaneous nephrolithotomy study

Not Applicable
Conditions
urolithiasis
renal stone
Registration Number
JPRN-jRCTs042190074
Lead Sponsor
Taguchi Kazumi
Brief Summary

In this study, we conducted a single-center, randomized controlled trial, evaluating the safety and efficacy of an AI-empowered robot-assisted device for percutaneous renal access compared with conventional ultrasound guidance. The subjects were patients underwent percutaneous nephrolithotomy due to large renal stones. The study included each 30-cases in the ultrasound or robot group. No differences were seen in the primary and secondary endpoints between the two groups.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
60
Inclusion Criteria

1) Patients whose age are between 16 and 80 years old, diagnosed with renal and/or upper ureteral stone at Nagoya City University Hospital, and planned for percutaneous nephrolithotomy
2) Stones for 15mm and larger in size
3) Patients who were obtained written informed consent
- obtained written informed consent from themselves if they are 20 years old and older
- obtained written informed consent from themselves and representatives if their age are between 16 and 19 years old

Exclusion Criteria

A) women with pregnant or its possibility
B) having active pyelonephritis
C) under anti-platelet/coagulation therapy within 1 week prior surgery
D) difficult status for general/lumber anesthesia judged by anesthesiologist
E) Best supportive care due to terminal carcinoma

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.success rate of inserting puncture needle from skin to anaimed renal calyx<br>2.success rate of nephrostomy access for renal collecting system with nephroscope
Secondary Outcome Measures
NameTimeMethod
renal puncture time, fluoroscopic time, total operation time, perioperational complicationrate (hemorrhage needed transfusion, pulmonary embolism, fever more than 38 c degree, SIRS, ureteral injury, other organ injury), length of hospitalization
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