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CTRI Number  CTRI/2023/04/051799 [Registered on: 20/04/2023] Trial Registered Prospectively
Last Modified On: 03/09/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A CLINICAL TRIAL TO STUDY THE OUTCOME OF TWO SURGICAL APPROACHES IN LAPAROSCOPIC URETEROLITHOTOMY.  
Scientific Title of Study   A Randomized Controlled Study Comparing Transperitoneal vs Retroperitoneal Laparoscopic Ureterolithotomy.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR PURVA AMBURE 
Designation  DNB TRAINEE GENERAL SURGERY 
Affiliation  NAZARETH HOSPITAL 
Address  DEPARTMENT OF GENERAL SURGERY NAZARETH HOSPITAL NONGRIM ROAD LAITUMKHRAH SHILLONG

East Khasi Hills
MEGHALAYA
793003
India 
Phone  7822824675  
Fax    
Email  purvaambure@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR JAYANTA K DAS 
Designation  DNB TRAINEE GENERAL SURGERY 
Affiliation  NAZARETH HOSPITAL 
Address  NAZARETH HOSPITAL NONGRIM ROAD LAITUMKHRAH SHILLONG

East Khasi Hills
MEGHALAYA
793003
India 
Phone  7822824675  
Fax    
Email  drjayantakr@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  DR PURVA AMBURE 
Designation  DNB TRAINEE GENERAL SURGERY 
Affiliation  NAZARETH HOSPITAL 
Address  DEPARTMENT OF GENERAL SURGERY NAZARETH HOSPITAL NONGRIM ROAD LAITUMKHRAH SHILLONG

East Khasi Hills
MEGHALAYA
793003
India 
Phone  7822824675  
Fax    
Email  purvaambure@gmail.com  
 
Source of Monetary or Material Support  
NAZARETH HOSPITAL NONGRIM ROAD LAITUMKHRAH SHILLONG-793003 MEGHALAYA 
 
Primary Sponsor  
Name  NAZARETH HOSPITAL 
Address  NONGRIM ROAD LAITUMKHRAH SHILLONG 793003 
Type of Sponsor  Other [GENERAL HOSPITAL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR PURVA AMBURE  NAZARETH HOSPITAL  NONGRIM ROAD LAITUMKHRAH SHILLONG 793003
East Khasi Hills
MEGHALAYA 
7822824675

purvaambure@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE NAZARETH HOSPITAL SHILLONG  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N201||Calculus of ureter, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  LAPAROSCOPIC URETEROLITHOTOMY RETROPERITONEAL APPROACH   FOLLOWING PARAMETERS WILL BE STUDIED- SIDE AND SITE OF STONE - INTRAOPERATIVE FINDINGS SUCH AS STONE SPILLAGE,VESSELS/VISCERAL INJURY, OPEN CONVERSION, INTRACORPOREAL SUTURING TIME, DJ STENTING , POSTOPERATIVE PARAMETRS- POST OP PAIN, POST OP COMPLICATIONS, DAY OF CATHER REMOVAL, DAY OF DRAIN REMOVAL, DURATION OF HOSPITALIZATION, STONE FREE STATUS 
Intervention  LAPAROSCOPIC URETEROLITHOTOMY TRANSPERITONEAL APPROACH  FOLLOWING PARAMETERS WILL BE STUDIED- SIDE AND SITE OF STONE - INTRAOPERATIVE FINDINGS SUCH AS STONE SPILLAGE,VESSELS/VISCERAL INJURY, OPEN CONVERSION, INTRACORPOREAL SUTURING TIME, DJ STENTING , POSTOPERATIVE PARAMETRS- POST OP PAIN, POST OP COMPLICATIONS, DAY OF CATHER REMOVAL, DAY OF DRAIN REMOVAL, DURATION OF HOSPITALIZATION, STONE FREE STATUS  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Age more than 18years.
Patient with ureteric calculus of size ≥10mm.
 
 
ExclusionCriteria 
Details  Pregnant women.
Congenital renal and/or ureteric anomalies at the stone site.
Patients not fit for surgery.
Patient having non-functioning kidney.
Patient not consenting for surgery 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
STONE FREE RATE  STONE FREE RATE WILL BE ASSESED ON POSTOPERATIVE DAY 1, 6WEEKS AND 3 MONTHS FOLLOWING SURGERY. 
 
Secondary Outcome  
Outcome  TimePoints 
INTRAOPERATIVE AND POSTOPERATIVE COMPLICATIONS  3 MONTHS 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   27/04/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

Till date, there has been no consensus as to which method of laparoscopic ureterolithotomy is preferred.

The purpose of this study is to evaluate difference between transperitoneal v/s retroperitoneal approach used for Laparoscopic ureterolithotomy and if there is any advantage of one technique over the other. This randomized control study will compare the outcome of the two approaches.

Patients with >/= to 10mm ureteric calculus will be randomly assigned to either of the approach groups and evaluated on the basis of peri-operative outcomes and differences and followed up for a period of 3months.

 
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