Investigate the Renal Movement by Single Lung Ventilation in Patients Administered RIRS for Kidney Stones.

Last updated: February 19, 2020
Sponsor: Kahramanmaras Sutcu Imam University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Kidney Stones

Treatment

N/A

Clinical Study ID

NCT03060837
17
  • Ages > 18
  • All Genders

Study Summary

In patients undergoing RIRS for kidney stone, we aim to show the effect of single lung ventilation with a double lumen tube on operative (operation scope duration, perforation, hemorrhage, etc. complications) and postoperative parameters (stone-free rates, complications like postoperative hemorrhage and fever, hospital stay, etc.) and to show changes in renal stone position during simultaneous normal ventilation and single lung ventilation.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Older than 18 years

  2. ASA (American Society of Anesthesiologists) 1-3

  3. Patients with 2-3 cm stones in kidneys

Exclusion

Exclusion Criteria:

  1. Patients with staghorn stones in kidneys

  2. Patients with urinary system anomalies Removal Criteria :

  3. Difficult airway

  4. Patients with carinal, bronchial lesions

  5. Patients with bad general situation

  6. Patients younger than 18 years

  7. Satiated patients

Study Design

Total Participants: 80
Study Start date:
March 01, 2017
Estimated Completion Date:
March 01, 2020

Study Description

In recent years open surgical treatment has changed to minimal invasive treatments for kidney stone treatment. Additionally, the treatment choices vary depending on the localization of the stone and its dimensions. In the European Urology Association (EUA) guidelines, it states the RIRS method can be used to treat stones up to 2 cm in the kidney. Due to RIRS the operation and scopy durations and hospital stay have clearly reduced compared to the standard treatment of percutaneous nephrolithotomy. However, the high hydrostatic pressure applied to the renal pelvis during RIRS may cause unwanted results in the postoperative period such as hydronephrosis and loss of renal parenchyma. During the operation, the stone may move during deep inspirium and expirium sequences linked to deep ventilation which may lengthen the operation and scope durations and brings risks such as perforation during laser lithotripsy application. In this study we aimed to apply single lung ventilation during the operation (one of the indications for single lung ventilation is to increase surgical view and ease manipulation) to minimize renal movement on that side and reduce peroperative and postoperative complications.

Connect with a study center

  • Kahramanmaraş Sütçü Imam Üniversity

    Kahramanmaras, 46000
    Turkey

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.