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. 2013 Nov;7(2):83-9.
doi: 10.1159/000356254. Epub 2013 Oct 30.

Prospective Randomized Comparison of Open versus Transperitoneal Laparoscopic Ureterolithotomy: Experience of a Single Center from Northern India

Manish Garg  1 , Vishwajeet Singh  1 , Rahul J Sinha  1 , Satya N Sankhwar  1 , Manoj Kumar  1 , Amit Kumar  1 , Jai Prakash  1 , Pradeep Kumar  1 , Mohit Pandey  2
Affiliations

Prospective Randomized Comparison of Open versus Transperitoneal Laparoscopic Ureterolithotomy: Experience of a Single Center from Northern India

Manish Garg et al. Curr Urol. 2013 Nov.

Abstract

Aim: Prospective randomized study on transperitoneal laparoscopic ureterolithotomy (TPLU) versus open ureterolithotomy (OU) for treatment of large impacted ureteric stones (≥ 1.5 cm) and assessment of overall results.

Material & methods: In a prospective study between 2010 to 2012, 30 patients underwent TPLU and 30 OU based on 1:1 randomization. The operation was indicated primarily in 44 cases or after failed shock-wave lithotripsy/ureteroscopy in 16 cases. Two groups were compared for operative time, success rate, visual pain score, analgesic requirement, hospital stay, and postoperative complications. Statistical analysis was performed with SPSS® version 16.0 using Fisher exact or Mann-Whitney U tests with p < 0.05 considered statistically significant.

Results: The difference in visual pain score (6.2 in TPLU group vs 3.1 in OU group on day 1; 4.8 vs. 2.4 on day 2) and tramadol requirements (184.32 mg in TPLU group vs. 150.87 mg in OU group on day 1; 97.34 mg vs. 65.56 mg on day 2) were statistically significant and more in OU. Hospital stay and convalescence were significantly lower in the TPLU. However, stone removal in one attempt was similar in both the groups.

Conclusion: Although successful stone removal rates are equal in both groups, TPLU is associated significantly with less postoperative pain, less analgesic requirement, shorter hospital stay and short convalescence in comparison to OU.

Keywords: Laparoscopy; Ureteral calculus; Ureterolithotomy.

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References

    1. Almeida GL, Heldwein FL, Graziotin TM, Schmitt CS, Teloken C. Prospective trial comparing laparoscopy and open surgery for management of impacted ureteral stones. Actas Urol Esp. 2009;33:1108–1114. - PubMed
    1. Singh V, Sinha RJ, Gupta DK, Kumar M, Akhtar A. Transperitoneal versus retroperitoneal laparoscopies ureterolithotomy: a prospective randomized comparison study. J Urol. 2013;189:940–945. - PubMed
    1. Hruza M, Schulze M, Teber D, Gozen AS, Rassweiler JJ. Laparoscopic techniques for removal of renal and ureteral calculi. J Endourol. 2009;23:1713–1718. - PubMed
    1. Skrepetis K, Doumas K, Siafakas I, Lykourinas M. Laparoscopic versus open ureterolithotomy. A comparative study. Eur Urol. 2001;40:32–36. - PubMed
    1. Goel A, Hemal AK. Upper and mid-ureteric stones: a prospective unrandomized comparison of retroperitoneoscopic and open ureterolithotomy. BJU Int. 2001;88:679–682. - PubMed