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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 .
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ECIRS-Group | Experimental |
| |
| SPCNL-GRoup | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endoscopic compbined guided PCNL | Procedure | patient undergo stone removal by ECIRS |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Stone Free Rate | If their is any residual stones | 1day after operation. |
| Stone Free Rate | If their is any residual stones | 1 months post operative |
| Stone Free Rate | If their is any residual stones | 3 months post-operative |
| Measure | Description | Time Frame |
|---|---|---|
| operative time | the length of operation | intra oprative |
| blood loss | hemoglobin drop | pre-operative and 1 day post-oprative |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Waleed El-Shaer, M.D | Contact | 01015767331 | 0020 | waleed_elshaer@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banha university hospital | Recruiting | Banhā | Qalyubia Governorate | 13511 | Egypt |
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| ID | Term |
|---|---|
| D007669 | Kidney Calculi |
| ID | Term |
|---|---|
| D053040 | Nephrolithiasis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| Standard PCNL |
| Procedure |
patient undergo SPCNL |
|
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052878 | Urolithiasis |
| D014545 | Urinary Calculi |
| D052801 | Male Urogenital Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |