Abstract
Background: To evaluate efficacy of laparoscopic transperitoneal pyelolithotomy for management of renal pelvic stones in term of blood loss
 Methods: This study has been conducted in the Department of General surgery, Indira Gandhi Medical College, Shimla on selected patients of Renal pelvis stones admitted in institution
 Results: Mean blood loss in successful laparoscopic surgery was 58.33 ml and in lap converted to open was 200 ml.
 Conclusion: Laparoscopic pyelolithotomy is a feasible and safe operation for patients with renal stones in centers with adequate experience in laparoscopy and well trained surgeons. It is found to be safe, effective and efficient with proper patient selection and adherence to standard laparoscopic surgical principles.
 Keywords: Laparoscopic Transperitoneal Pyelolithotomy, Pelvic stone, Blood loss
Highlights
Percutaneous nephrolithotomy (PCNL) is accepted as the gold standard surgery for most patients suffering from large or complex renal calculi
Background: To evaluate efficacy of laparoscopic transperitoneal pyelolithotomy for management of renal pelvic stones in term of blood loss Methods: This study has been conducted in the Department of General surgery, Indira Gandhi Medical College, Shimla on selected patients of Renal pelvis stones admitted in institution Results: Mean blood loss in successful laparoscopic surgery was 58.33 ml and in lap converted to open was 200 ml
Despite its advantage in percutaneous approach with high stone free rate (SFR), some concerns still remain about its complications such as immediate or late hemorrhage, parenchymal loss and injury to the adjacent organs
Summary
Percutaneous nephrolithotomy (PCNL) is accepted as the gold standard surgery for most patients suffering from large or complex renal calculi. Despite its advantage in percutaneous approach with high stone free rate (SFR), some concerns still remain about its complications such as immediate or late hemorrhage (due to arteriovenous fistula or pseudo aneurysm), parenchymal loss and injury to the adjacent organs. Laparoscopic pyelolithotomy is assumed to preserve functional renal parenchyma, and there is a minimal risk for immediate or late complications. It might be an alternative for the patients in whom maximal preservation of renal parenchyma is necessary
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