Comparison of Percutaneous Nephrolithotomy Under Spinal Versus General Anesthesia: A Randomized Clinical Trial

2013 ◽  
Vol 27 (8) ◽  
pp. 974-978 ◽  
Author(s):  
Akbar Nouralizadeh ◽  
Seyed Amir Mohsen Ziaee ◽  
Seyed Hossein Hosseini Sharifi ◽  
Abbas Basiri ◽  
Ali Tabibi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
General Anesthesia ◽  
Randomized Clinical Trial ◽  
Percutaneous Nephrolithotomy

Complications and surgical results of stone-directed antegrade pyelography compared to the retrograde pyelographic access method in percutaneous nephrolithotomy using ‘bull’s eye’ technique: A randomized clinical trial

2021 ◽  
pp. 205141582199372
Author(s):  
Dariush Irani ◽  
Abdolreza Haghpanah ◽  
Mohammad Mehdi Hosseini ◽  
Leila Malekmakan ◽  
Mohammad Ali Ashraf ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
Surgical Results ◽  
Retrograde Pyelography ◽  
Antegrade Approach ◽  
Antegrade Pyelography ◽  
Significant Difference ◽  
Bull's Eye

Objectives: This study aimed to evaluate the differences in outcomes and complications in stone-directed antegrade pyelography using the ‘bull’s eye’ technique in patients with renal stones versus the conventional method of percutaneous nephrolithotomy (PCNL). Although conventional PCNL access using retrograde pyelography is useful, it is time-consuming and may cause postoperative discomfort. Herein, we report our experience in the application of this new technique. Methods: Between January 2017 and June 2018, 100 patients participated in this randomized clinical trial. Stone-directed antegrade pyelography using the ‘bull’s eye’ technique under fluoroscopic guidance was used for percutaneous access in the intervention group. The second group, consisting of those who had undergone conventional PCNL using retrograde pyelography and ‘bull’s eye’ technique in the same period, were considered as the controls. Pre- and postoperative laboratory examinations, surgical results and complications were recorded and compared between the two groups. Results: A single calyceal puncture in partial staghorn and staghorn stone patients was sufficient in 72.2% of the antegrade group and in 78.9% of the retrograde group ( p=0.69). The double-puncture technique was necessary for 71.9% of renal pelvis stones in the antegrade group and for 9.4% in the retrograde group ( p<0.001). The antegrade approach reduced the mean operative time and analgesic requirement significantly ( p<0.001). No statistically significant difference, however, was found between the two groups regarding stone migration to the ureter, radiation time and postoperative complications. Conclusions: The stone-directed antegrade approach using the ‘bull’s eye’ technique is a safe and accurate method in PCNL access in patients with radiopaque and semi-opaque renal stones.

Feasibility of Totally Tubeless Percutaneous Nephrolithotomy Under the Age of 14 Years: A Randomized Clinical Trial

2012 ◽  
Vol 26 (6) ◽  
pp. 621-624 ◽  
Author(s):  
Seyed Mohamad Kazem Aghamir ◽  
Alborz Salavati ◽  
Mehdi Aloosh ◽  
Hasan Farahmand ◽  
Alipasha Meysamie ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Percutaneous Nephrolithotomy ◽  
Tubeless Percutaneous Nephrolithotomy

Renal Parenchymal Damage After Percutaneous Nephrolithotomy with One-Stage Tract Dilation Technique: A Randomized Clinical Trial

2011 ◽  
Vol 25 (6) ◽  
pp. 927-931 ◽  
Author(s):  
Alireza Aminsharifi ◽  
Mehrosadat Alavi ◽  
Ghasem Sadeghi ◽  
Saeed Shakeri ◽  
Firoozeh Afsar
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Percutaneous Nephrolithotomy ◽  
One Stage ◽  
Tract Dilation ◽  
Parenchymal Damage

Comparing the Efficacy of Tolterodine and Gabapentin Versus Placebo in Catheter Related Bladder Discomfort After Percutaneous Nephrolithotomy: A Randomized Clinical Trial

2018 ◽  
Vol 32 (2) ◽  
pp. 168-174 ◽  
Author(s):  
Robab Maghsoudi ◽  
Saeed Farhadi-Niaki ◽  
Masoud Etemadian ◽  
Amir H Kashi ◽  
Pejman Shadpour ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Percutaneous Nephrolithotomy

Comparing the Efficacy and Safety of Ultrasonic Versus Pneumatic Lithotripsy in Percutaneous Nephrolithotomy: A Randomized Clinical Trial

2017 ◽  
Vol 3 (1) ◽  
pp. 82-88 ◽  
Author(s):  
Mohammad Hadi Radfar ◽  
Abbas Basiri ◽  
Akbar Nouralizadeh ◽  
Hamidreza Shemshaki ◽  
Reza Sarhangnejad ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Percutaneous Nephrolithotomy ◽  
Efficacy And Safety ◽  
Pneumatic Lithotripsy
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