Evaluation of efficacy and outcome of retroperitoneal laparoscopic pyelolithotomy and open pyelolithotomy in patients with renal stones

Abstract

Background: Urolithiasis has affected humans since antiquity. The aim of the study was to evaluate the efficacy and outcome of retroperitoneal laproscopic pyelolithotomy and open pyelolithotomy in patients with renal stones.Methods: The present prospective randomized clinical study was carried out in department of surgery from June 2017 to April 2021 in patients with renal stones. A total of 100 patients with solitary renal pelvic stone were properly assessed radiologically and clinically before planning the surgical intervention.Results: The overall mean age of presentation among patients undergoing pyelolithotomy was 41.9±12.30 years (χ2=5.14, p≤0.001). Minimum number of patients were 41-60 years age group i.e.; 58 patients. 70 patients were males while 30 patients were females with male to female ratio 2.33:1. The mean stone size among patients undergoing LP and OP was 1.9±0.5 cm. The mean operative time (min) among patients undergoing LP group (123.9±9.5 minutes) was more as compared to OP group was 80.1±17.5 min. The mean duration of return to work was 3.86±1.39 days. The mean duration of return to work in LP group was 3.87±1.37 days, while in OP group was 5.87±1.34 days (χ2=18.56, p<0.02).Conclusions: Retroperitoneal laproscopic pyelolithotomy proved to be safer in all the aspects than open pyelolithotomy.