The Impact of Previous Open Renal Surgery on Percutaneous Nephrolithotomy Complications
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Hospital stay duration
研究概览
简要总结
This study compared percutaneous nephrolithotomy (PCNL) complications in cases with or without previous renal surgery.
详细描述
Percutaneous nephrolithotomy (PCNL) is a cornerstone in managing large renal calculi. However, in patients with a history of previous open renal surgery (POS), retroperitoneal scarring, altered anatomy, and vascular complications may influence PCNL outcomes.
The literature remains inconsistent regarding whether POS negatively impacts PCNL success or increases complications. Therefore, this study aims to clarify the comparative safety and efficacy of PCNL in patients with and without prior open renal surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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 (≥18 years).
- •Both sexes.
- •Undergoing percutaneous nephrolithotomy (PCNL) for renal calculi >2 cm.
排除标准
- •Active urinary tract infection.
- •Elevated serum creatinine >2.0 mg/dL.
- •Pregnancy.
- •Uncontrolled coagulopathy.
- •Significant cardiopulmonary comorbidities.
结局指标
主要结局
Hospital stay duration
时间窗: Till the discharge from hospital (Up to two weeks)
Lenght of hospital stay was recorded from the admission till the discharge from hospital.
次要结局
- Serum creatinine level(Preoperatively)
- Incidence of patients who need for auxiliary procedure(24 hours postoperatively)
研究者
Ahmed Mahmoud Reyad
Assistant Professor of Urology, Faculty of Medicine, Sohag University, Sohag, Egypt
Sohag University