Low-Thoracic Epidural Anesthesia For Laparoscopic Nephrectomy.

Recruiting now · Not applicable

Conditions studied: Laparoscopic, Nephrectomy, Anesthesia, Epidural

In brief

Laparoscopic nephrectomy is a surgical technique to excise a diseased kidney. It's a minimally invasive technique, so when compared to open surgery, it can mean significantly less post-operative pain, shorter hospital stay, earlier return to work and daily life activities, a more favourable cosmetic result and outcomes similar to that of open surgery. Recently, advanced laparoscopic surgery has targeted older and high risk patients for general anesthesia; in these patients, regional anesthesia offers several advantages with improved patient satisfaction. Compared with alternative anesthetic techniques, epidural anesthesia may reduce the risks of venous thromboembolism, myocardial infarction, bleeding complications, pneumonia, respiratory depression and renal failure. The aim of this study is to compare the conventional general anesthetic technique to the regional anesthesia for laparoscopic nephrectomy, in modified lateral decubitus position using low-pressure pneumoperitoneum.

Key facts

Study ID

NCT04546230

Run by

Nazmy Edward Seif

People needed

80

Starts

2020-09-19

Expected to finish

2026-12-01

Last updated by the study team

2026-01-12

Who can join

Age: 18 and older, up to 70. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• ASA I - II.
• Adult patients scheduled for laparoscopic nephrectomy.

You may not qualify if…

• Patient refusal.
• Contraindication to regional anesthesia (e.g., coagulopathy, site infection).
• Allergy to local anesthetics.

Where it is running

• Cairo University Hospitals — Cairo, Egypt (enrolling)

Full record on ClinicalTrials.gov

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