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This study compared percutaneous nephrolithotomy (PCNL) complications in cases with or without previous renal surgery.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fresh cases | Patients with no prior renal surgery. |
| |
| Recurrent cases | Patients with previous open renal surgery on the same side. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous Nephrolithotomy | Procedure | Patients underwent percutaneous nephrolithotomy (PCNL) for renal calculi >2 cm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospital stay duration | Lenght of hospital stay was recorded from the admission till the discharge from hospital. | Till the discharge from hospital (Up to two weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Serum creatinine level | Serum creatinine level was recorded. | Preoperatively |
| Incidence of patients who need for auxiliary procedure | Incidence of patients who need for auxiliary procedure were recorded. |
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Inclusion Criteria:
Exclusion Criteria:
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This prospective hospital-based comparative study included 200 patients with recurrent renal stones in one arm and an equal number of patients in a control arm.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sohag University | Sohag | 82511 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| ID | Term |
|---|---|
| D000074642 | Nephrolithotomy, Percutaneous |
| ID | Term |
|---|---|
| D010535 | Laparoscopy |
| D004724 | Endoscopy |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| 24 hours postoperatively |
| D013520 | Urologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |