Multitract PCNL as One Step for Management of Large Renal Stones
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 主要终点
- Stone free rate
研究概览
简要总结
Investigator aimed to analyze the clinical efficacy and safety of multiple tracts PCNL as one step therapy to treat the staghorn stones or multiple calyceal calculi which are inaccessible by single tract
详细描述
Staghorn calculi are branched stones either partial or complete occupying the pelvis and one or more of the renal caliceal system that is detected by non contrast computrized tomography (NCCT) and plain on kidney, ureter, urinary bladder (KUB). An untreated staghorn calculus over time can damage the kidney and deteriorate its function and /or cause life threatening sepsis.
Total stone clearance is an important goal to eradicate any infective focus, relieve obstruction and preserve the kidney function.
Based on American Urological Association (AUA) guideline, PCNL is the most effective, safest and minimally invasive treatment option compared to open surgery
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients more than 18 years old.
- •Patients with staghorn stone (partial, complete).
- •Patients with multiple calyceal calculi which are inaccessible by single tract.
排除标准
- •Patients under 18 years old.
- •Patients with renal anomalies.
- •Patients with only function kidney.
- •Patients with distal ureteric obstruction.
- •Patients with radiolucent stone.
- •Patients with febrile urinary tract infection.
- •Patients with abnormal coagulopathy state.
- •Patients refused to participate in this study.
- •Musculoskeletal deformity.
结局指标
主要结局
Stone free rate
时间窗: The participants will be followed for one month after the procedure
Assessment of the instant postoperative stone free rate and after one month from the procedure for all 40 participants using the postoperative non contrast computerized tomography (NCCT )and plain on kidney , ureter, urinary bladder (KUB )
次要结局
- Postoperative complications(From the start of the operation and till one month after the patient discharge.)
- Postoperative pain(Within 24 hours postoperative and till the patient discharge)
- Hospital stay(Average of six days)
- Operative time(Average of three hours)
研究者
Waleed Mahmoud Ali Abbas
Principle investigator
Assiut University