Recruiting NCT07461090
Laparoscopic Versus Open Nephrectomy : Clinical Effectivness and Cost Analysis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: open or laparoscopic nephrectomy.
- Who it may be relevant to
- Registry conditions: Nonfunctioning Kidney, Renal Cell Carcinoma (RCC). Basic parameters: from 1 year · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
To evaluate and compare clinical effectiveness (operative time, blood loss, hospital stay, complications and etc) and cost analysis' between laparoscopic nephrectomy and open nephrectomy .
Interventions
- Procedure open or laparoscopic nephrectomy
compare post operative recovery , estimated blood loss and cost analysis between open and laparosopic nephrectomy.
Primary outcome measures
- Length of hospital stay (LOS). [Time frame: 30 days post operative]
Secondary outcome measures (1)
- clinical effectiveness [Time frame: Post operative 30 days.]
Eligibility criteria
Inclusion criteria
- American Society of Anesthesiology score 1-3.
- Indication for :
- Simple total nephrectomy or hemi nephrectomy: benign chronic inflammatory non-functioning kidney
- Partial nephrectomy: localized renal mass ≤7 cm suitable for nephron-sparing surgery.
- Radical nephrectomy or Radical nephrouretrectomy with bladder cuff: localized renal tumor requiring complete nephrectomy without major vascular invasion.
- Patient deemed fit for general anesthesia and surgery.
- Patient provides written informed consent.
Exclusion criteria
- emergency surgery, dialysis-dependent patients, planned hybrid procedures.
- Patients with incomplete data
- Patients with metastatic disease at presentation.
- Prior extensive ipsilateral retroperitoneal surgery or severe adhesions precluding Laparoscopy.
- Need for concomitant major procedures (eg, large bowel resection) at index operation.
- Locally advanced tumor with obvious major vascular involvement requiring complex vascular reconstruction.
- Uncorrected coagulopathy.
- Pregnancy or Obese patient (BMI > 40)
- Inability to provide informed consent or comply with follow-up.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Menoufia Faculty of Medicine — Shibīn al Kawm
Identifiers
NCT: NCT07461090 · laparoscopic nephrectomy