Endoscopic Guided PCNL Versus Standard PCNL
- Conditions
- Stones, Kidney
- Interventions
- Procedure: Standard PCNLProcedure: Endoscopic compbined guided PCNL
- Registration Number
- NCT04825353
- Lead Sponsor
- Benha University
- 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
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 150
- patients with renal stones diameter of at least 2 cm.
- American Society of Anesthesiology score ≤ 2.
- patients with renal anomalies.
- transplanted kidney.
- uncorrected coagulopathy.
- active infection.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description SPCNL-GRoup Standard PCNL - ECIRS-Group Endoscopic compbined guided PCNL -
- Primary Outcome Measures
Name Time Method Stone Free Rate 3 months post-operative If their is any residual stones
- Secondary Outcome Measures
Name Time Method operative time intra oprative the length of operation
blood loss pre-operative and 1 day post-oprative hemoglobin drop
Trial Locations
- Locations (1)
Banha university hospital
🇪🇬Banhā, Qalubia, Egypt