Laparoscopic Versus Open Nephrectomy : Clinical Effectivness and Cost Analysis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1+
SponsorMenoufia University

About this trial

To evaluate and compare clinical effectiveness (operative time, blood loss, hospital stay, complications and etc) and cost analysis' between laparoscopic nephrectomy and open nephrectomy .

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

American Society of Anesthesiology score 1-3.

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.

Disqualifiers

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.

Trial design

Design model

Parallel

Treatments tested in this trial

  • open or laparoscopic nephrectomy

    Procedure/Surgery

    compare post operative recovery , estimated blood loss and cost analysis between open and laparosopic nephrectomy.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: open nephrectomyActive comparator 1 intervention
Group B: laparoscopic nephrectomyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Length of hospital stay (LOS).

Number of calendar days from date of index surgery to date of discharge .

Time frame
30 days post operative

Secondary outcomes

1

clinical effectiveness

Functional recovery was evaluated using a modified World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The questionnaire consists of 10 items scored on a 5-point scale (0-4), with a total score ranging from 0 to 40, where higher scores indicate worse functional outcome and greater disability while Lower scores indicate better functional recovery.

Time frame
Post operative 30 days.

Other outcomes

Sponsors and contacts

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