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Japanese

April. 11, 2023

April. 11, 2023

jRCTs052230008

A multi-center, randomized non-inferiority clinical trial comparing robotic-assisted fluoroscopic-guided with ultrasound-guided renal access for percutaneous nephrolithotomy in supine position.

Robot-assisted fluoroscopic-guided renal access for percutaneous nephrolitotomy in supine position.

Yamashita Shimpei

Wakayama Medical University Hospital

811-1 Kimiidera, Wakayama City, Wakayama, Japan

+81-9086505031

keito608@wakayama-med.ac.jp

Yamashita Shimpei

Wakayama Medical University Hospital

811-1 Kimiidera, Wakayama City, Wakayama, Japan

+81-73-441-0637

keito608@wakayama-med.ac.jp

Recruiting

April. 11, 2023

94

Interventional

randomized controlled trial

open(masking not used)

active control

parallel assignment

treatment purpose

1) Patients whose age are between 16 and 80 years old, diagnosed with renal and/or upper ureteral stone at Wakayama Medical Hospital or Nagoya City University Hospital, and planned for percutaneous nephrolithotomy
2) Stones for 15mm and larger in size
3) Patients who were obtained written informed consent
- obtained written informed consent from themselves if they are 18 years old and older
- obtained written informed consent from themselves and representatives if their age are between 16 and 17 years old

A) women with pregnant or its possibility
B) having active pyelonephritis
C) under anti-platelet/coagulation therapy within 1 week prior surgery
D) difficult status for general/lumber anesthesia judged by anesthesiologist
E) Best supportive care due to terminal carcinoma

16age old over
80age old under

Both

Urolithiasis

RAF group (47 cases): Performing renal puncuture by ANT-X assisted fluoroscopic guidance during percutaneous nephrolithotomy.
US group (47 cases): Performing renal puncuture by ultrasound guidance during percutaneous nephrolithotomy.

renal stone

nephrolithotomy, robot assist, fluoroscopic guidance, ultraso und guidance, renal puncture

D052878

D000074642

Success rate of single renal puncture

stone free rate, number of renal punctures, renal puncture time, fluoroscopic time and perioperative complications

CRB5180004
811-1 Kimiidera, Wakayama City, Wakayama, Japan, Wakayama

+81-73-441-0896

wa-rinri@wakayama-med.ac.jp
Approval

Nov. 04, 2022

No

none