Ignite Creation Date:
2024-05-06 @ 8:22 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06350045
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-04-05
First Post:
2024-03-29
Brief Title:
High Supracostal Versus Subcostal Puncture in Adult PCNL
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Renal Puncture Above the Eleventh Rib High Supracostal Approach Versus Subcostal Puncture in Percutaneous Nephrolithotomy for Treatment of Renal Stones in Adults A Prospective Randomized Trial
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
as the supra eleventh puncture PCNL is not well investigated in the literature we will conduct that randomised trial in comparison to the subcostal one
Detailed Description:
The use of percutaneous nephrolithotomy PCNL was first reported by Fernström and Johansson in 1976 Percutaneous nephrolithotomy PCNL is the accepted treatment for staghorn stones large renal stones and some upper ureteric stones Achieving suitable access to the appropriate calyx is one of the most important steps during the PCNL procedure Effective puncture is key for the success of PCNL An ideal percutaneous nephrolithotomy PCNL puncture has been described as one that provides the shortest and straightest access to all calculi avoids major vessels bowel and lung lies along the axis of the calyx and causes minimal parenchymal damage
Many studies have reported that supracostal access for PCNL is advantageous over infracostal access By creating a straight path along the kidneys long axis the upper-pole method guarantees access to the majority of the collecting system and makes it simpler to manipulate the rigid nephroscope and other rigid devices Therefore supracostal puncture is perhaps the greatest method for gaining access to the upper pole calyx where staghorn and big complicated renal stones are most likely to be located Although pneumothorax hydrothorax and lung damage 1-10 can result after a supracostal puncture this injury can now be handled with minimal morbidity thanks to advances in surgical technique and understanding of pleural and diaphragmatic architecture
Many studies have reported that supracostal access for PCNL is advantageous over infracostal access By creating a straight path along the kidneys long axis the upper-pole method guarantees access to the majority of the collecting system and makes it simpler to manipulate the rigid nephroscope and other rigid devices Therefore supracostal puncture is perhaps the greatest method for gaining access to the upper pole calyx where staghorn and big complicated renal stones are most likely to be located Although pneumothorax hydrothorax and lung damage 1-10 can result after a supracostal puncture this injury can now be handled with minimal morbidity thanks to advances in surgical technique and understanding of pleural and diaphragmatic architecture
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
True
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
True
Is an FDA AA801 Violation?:
None