Which Factor Affect the Success of Pediatric PCNL?: Single Center Experiences, Over 20 Years: Cohort Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 553
- Primary Endpoint
- Safety and Efficacy of clinical experience of Percutaneous nephrolitotomy
Study Overview
Brief Summary
Between June 1997-June 2018, 573 pediatric patients underwent PCNL for renal stone disease by senior surgeons. Data was disunited into 2 groups.
The study showed that PCNL is an operator-dependent procedure, with the improvement of outcomes over time, presumably due to increased operator experience and the involvement of a team member with substantial prior experience During 20 years, by gaining experience and with the development of new tools and optics, fluoroscopy time, operation time, blood loss and complication rates decreased and stone-free rates increased.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 1 Year to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Pediatric patients with kidney stone
Exclusion Criteria
- •Patients with a solitary kidney
Arms & Interventions
Years 1997-2007
Group-1, PCNL was performed in the first 10 years period (Years 1997-2007);
Intervention: Percutaneous nephrolitotomy (Procedure)
2008- to the present
The PCNL was performed in the second ten years period from 2008 to the present.
Intervention: Percutaneous nephrolitotomy (Procedure)
Outcomes
Primary Outcomes
Safety and Efficacy of clinical experience of Percutaneous nephrolitotomy
Time Frame: over 20 years
The duration of clinical experience affects complication rates, success rates. Intraoperative and postoperative data was contained, preoperative and postoperative GFR (calculated with Cockcroft Gault equations), changing hemoglobin levels, transfusion rate, complications according to the Clavien classification.
Secondary Outcomes
- Changing of complications managements(Over 20 years)