Evaluation of Retrograde Intra Renal Surgery in the T-tilted Position
Evaluation of the T-tilted Position in Retrograde Intrarenal Surgery Using Flexible and Navigable Suction Access Sheath.
Ain Shams University
160 participants
Mar 1, 2025
INTERVENTIONAL
Conditions
Summary
To evaluate the effect of the T-tilted position on the stone-free rate compared to the standard lithotomy position in retrograde intrarenal surgeries. Common positions include the Trendelenburg position, where the patient is tilted head-down to help gravity move stones from the upper calyces to the renal pelvis, and the modified lateral decubitus position, which improves access to the lower renal poles. A more recent approach, the modified T-tilt position, combines a slight Trendelenburg tilt with lateral positioning, offering optimal access to both the upper and lower calyces while maintaining patient comfort
Eligibility
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Interventions
Patients will be placed at the T-Tilt position (15 degrees Trendelenburg and 15 degrees away from the surgical side kidney) during surgery.
Patients will be placed in regular lithotomy position with operating table at 0 degrees of tilting.
Locations(1)
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NCT06860113