Abstract
Background: To evaluate efficacy of laparoscopic transperitoneal pyelolithotomy for management of renal pelvic stones in term of postoperative hospital stay
 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 hospital stay was 6.66 days in laparoscopic group and it was 8 days in laparoscopic completed by open method. Maximum no. of patients was discharged within 5 days. 6 (75 %) patients returned to normal activity in less than 30 days which included only successful laparoscopic group and 2 patients returned to normal activity in 40 days which included lap completed by open group.
 Conclusion: In the present study of Laparoscopic Transperitoneal Pyelolithotomy at Indira Gandhi Medical College, Shimla, the procedure showed a definite decrease hospital stay, early return to activity than who have undergone open surgery
 Keywords: Laparoscopic Transperitoneal Pyelolithotomy, Pelvic stone, Hospital stay.
Highlights
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 postoperative hospital stay 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 hospital stay was 6.66 days in laparoscopic group and it was 8 days in laparoscopic completed by open method
Maximum no. of patients was discharged within 5 days. 6 (75 %) patients returned to normal activity in less than 30 days which included only successful laparoscopic group and 2 patients returned to normal activity in 40 days which included lap completed by open group
Summary
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.1The ideal procedure for large or complex renal stones would be the one that achieve complete stone free status with minimal morbidity and with the least number of procedures. 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. Laparoscopic Transperitoneal Pyelolithotomy can be an alternative to PCNL for the treatment of pelvic stones in selected cases
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