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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
150
patient undergo stone removal by ECIRS
patient undergo SPCNL
Banha university hospital
Banhā, Qalyubia Governorate, Egypt
RECRUITINGStone Free Rate
If their is any residual stones
Time frame: 1day after operation.
Stone Free Rate
If their is any residual stones
Time frame: 1 months post operative
Stone Free Rate
If their is any residual stones
Time frame: 3 months post-operative
operative time
the length of operation
Time frame: intra oprative
blood loss
hemoglobin drop
Time frame: pre-operative and 1 day post-oprative
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