Comparison of Miniperc and Standard Percutaneous Nephrolithotomy in the Treatment of Renal Stone: An Open Level Parallel Arm Randomized Control Trial

Journal of Current and Advance Medical Research Pub Date : 2023-11-29 DOI:10.3329/jcamr.v10i1.69783

S. Alam, Ayesha Rahman, Md Rassell, Abul Hasanat Muhammad Afzalul Haque, A. Talukder

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Abstract

Background: Treatment of renal stone is very crucial for the outcomes of the patients. Objective: The purpose of the present study was to compare the Miniperc and standard percutaneous nephrolithotomy in the Treatment of Renal Stone. Methodology: This randomized control trial was conducted in the Department of Urology at National Institute of Kidney Diseases and Urology, Dhaka and some private hospitals in Dhaka city of Bangladesh from July 2016 to November 2017 for a period of one and half year. Patients from 18 to 65 years of age with renal calculi ( 2cm) were selected on the basis of plain X-ray and ultra-sonogram of KUB region, from Urology outpatient Department (OPD) in National Institute of Kidney Diseases and Urology (NIKDU), Dhaka and some private hospitals in Dhaka city. Patients were selected in every alternate sequence (odd numbers for Miniperc in Intervention group and even numbers for Standard PCNL, control group). All patients underwent PCNL of both the procedures under general anesthesia and received intravenous broad spectrum antibiotics. Results: A total number of 60 patients were selected for study of which 30 patients were underwent miniperc and 30 patients were undergoing standard PCNL. The mean age of miniperc group and PCNL group were 34.43±11.09 and 36.70 ± 12.27 years respectively. An overall stone clearance rates was 93.33 (28) in intervention group and 6.67 % (2) was not cleared. Among the control group an overall stone clearance rates were 96.67% (29) and 3.33% (1) was not cleared. Stone clearance rates were not significant. The mean operative time (min) of intervention group was 97.47±15.03 and the mean operative time (min) of control was 86.37±17.73 Operative time was significant between the groups (p<0.05). Conclusion: In conclusion the rate of clearance of intervention group is not statistically significant. Journal of Current and Advance Medical Research, January 2023;10(1):19-24

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比较 Miniperc 和标准经皮肾镜取石术治疗肾结石：开放水平平行臂随机对照试验

背景：肾结石的治疗对患者的预后至关重要。研究目的本研究旨在比较 Miniperc 和标准经皮肾镜碎石术在肾结石治疗中的应用。研究方法：这项随机对照试验于 2016 年 7 月至 2017 年 11 月在孟加拉国达卡国立肾脏疾病和泌尿外科研究所的泌尿外科以及达卡市的一些私立医院进行，为期一年半。在达卡国立肾脏疾病和泌尿外科研究所（NIKDU）泌尿外科门诊部（OPD）和达卡市一些私立医院中，根据KUB区域的X光平片和超声声像图，选择了18至65岁的肾结石（2厘米）患者。患者按顺序轮流入选（单数入选干预组的 Miniperc，双数入选对照组的标准 PCNL）。所有患者均在全身麻醉下接受两种 PCNL 手术，并静脉注射广谱抗生素。结果研究共选取了 60 名患者，其中 30 名患者接受了迷你手术，30 名患者接受了标准 PCNL 手术。迷你手术组和 PCNL 组的平均年龄分别为（34.43±11.09）岁和（36.70±12.27）岁。干预组结石清除率为 93.33%（28 例），6.67%（2 例）未清除。对照组结石清除率为 96.67%（29 例），3.33%（1 例）未清除。结石清除率差异不大。干预组的平均手术时间（分钟）为（97.47±15.03）分钟，对照组的平均手术时间（分钟）为（86.37±17.73）分钟，组间手术时间差异显著（P<0.05）。结论总之，干预组的清除率无统计学意义。最新医学研究期刊》，2023 年 1 月；10（1）：19-24

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Journal of Current and Advance Medical Research

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