Abstract

Laparoscopic pyelolithotomy is an excellent treatment option for large stones that have formed in the renal pelvis. The purpose of this research was to evaluate and contrast the effectiveness of laparoscopic pyelolithotomy and open surgery in the removal of big renal pelvic stones. Materials and methods: This prospective research of comparison was carried out in department of General Surgery and department of Urology at Narayan Medical College and Hospital, Sasaram, India, in time period from 2013 to 2021. Patients were randomly assigned to one of two groups using a computer programme that produced random numbers. Patients in group A were given laparoscopic pyelolithotomy, whereas patients in group B had open pyelolithotomy. Using version 22 of the SPSS programme, the data were gathered and analysed. Results: The average age of the 74 patients who satisfied the inclusion criteria was 39.18 years, and the ratio of men to females was 1.96. 66.21 percent of the patients were male. Open pyelolithotomy was performed on 41 patients (55.41%) whereas laparoscopic pyelolithotomy was performed on 33 individuals (44.59%). The difference in the mean operating time between open surgery (78.13 minutes) and laparoscopic surgery (117.66 minutes) was statistically significant (p 0.05). In the group that had laparoscopic pyelolithotomy, the average amount of blood that was lost was 62.12 millilitres, whereas the amount that was lost in the open group was 92.07 millilitres (p =0.009). The difference between the open and laparoscopic groups in terms of the length of time patients spent in the hospital was statistically significant (p = 0.02). At the end of one month, we found a 100% stone-free rate in patients who had had either laparoscopic or open surgery. Over the course of the trial, not a single one of our patients passed away. Conclusion: A possible alternative to standard open pyelolithotomy and other endourological treatments, laparoscopic pyelolithotomy has shown good outcomes in recent years. In spite of the complexity of the procedure, it has a high rate of success in removing stones and a low postoperative morbidity rate.

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