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A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus

OBJECTIVE: In this study, our objective is to compare the morbidity (up to 3 months) between percutaneous nephrolithotomy (PCNL) and laparoscopic pyelolithotomy (LPL) in patients undergoing surgery for renal pelvic calculus in our population. MATERIALS AND METHODS: This was a retrospective study don...

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Autores principales: Tharakkal, Rajeevan Ambala, Gopalakrishnan, Midhun P., Cardoza, Felix S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8052907/
https://www.ncbi.nlm.nih.gov/pubmed/33897166
http://dx.doi.org/10.4103/UA.UA_20_20
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author Tharakkal, Rajeevan Ambala
Gopalakrishnan, Midhun P.
Cardoza, Felix S.
author_facet Tharakkal, Rajeevan Ambala
Gopalakrishnan, Midhun P.
Cardoza, Felix S.
author_sort Tharakkal, Rajeevan Ambala
collection PubMed
description OBJECTIVE: In this study, our objective is to compare the morbidity (up to 3 months) between percutaneous nephrolithotomy (PCNL) and laparoscopic pyelolithotomy (LPL) in patients undergoing surgery for renal pelvic calculus in our population. MATERIALS AND METHODS: This was a retrospective study done in a urology tertiary care center from January 1, 2016, to December 31, 2018, among patients who had undergone PCNL or LPL for renal pelvic calculus. The sample size was 70, with 35 cases in each group. RESULTS: In LPL arm, there was a significant reduction in the day of the drain or nephrostomy removal (P = 0.013) and in the number of patients with persistent leak after removal of drain or nephrostomy (P = 0.048). Apart from this, the median of postoperative hospital stay was also significantly less in LPL arm (P = 0.00005). However, the mean duration of surgery was significantly higher in the LPL arm (P = 0.00001). CONCLUSION: This study shows LPL and PCNL morbidity results are almost comparable except in a few factors. However, this study was a retrospective analysis of our work and it needs high quality randomized controlled study to establish the difference among these two procedures among our population.
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spelling pubmed-80529072021-04-23 A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus Tharakkal, Rajeevan Ambala Gopalakrishnan, Midhun P. Cardoza, Felix S. Urol Ann Original Article OBJECTIVE: In this study, our objective is to compare the morbidity (up to 3 months) between percutaneous nephrolithotomy (PCNL) and laparoscopic pyelolithotomy (LPL) in patients undergoing surgery for renal pelvic calculus in our population. MATERIALS AND METHODS: This was a retrospective study done in a urology tertiary care center from January 1, 2016, to December 31, 2018, among patients who had undergone PCNL or LPL for renal pelvic calculus. The sample size was 70, with 35 cases in each group. RESULTS: In LPL arm, there was a significant reduction in the day of the drain or nephrostomy removal (P = 0.013) and in the number of patients with persistent leak after removal of drain or nephrostomy (P = 0.048). Apart from this, the median of postoperative hospital stay was also significantly less in LPL arm (P = 0.00005). However, the mean duration of surgery was significantly higher in the LPL arm (P = 0.00001). CONCLUSION: This study shows LPL and PCNL morbidity results are almost comparable except in a few factors. However, this study was a retrospective analysis of our work and it needs high quality randomized controlled study to establish the difference among these two procedures among our population. Wolters Kluwer - Medknow 2021 2020-11-04 /pmc/articles/PMC8052907/ /pubmed/33897166 http://dx.doi.org/10.4103/UA.UA_20_20 Text en Copyright: © 2020 Urology Annals https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Tharakkal, Rajeevan Ambala
Gopalakrishnan, Midhun P.
Cardoza, Felix S.
A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
title A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
title_full A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
title_fullStr A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
title_full_unstemmed A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
title_short A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
title_sort comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8052907/
https://www.ncbi.nlm.nih.gov/pubmed/33897166
http://dx.doi.org/10.4103/UA.UA_20_20
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