Tharakkal Rajeevan Ambala, Gopalakrishnan Midhun P, Cardoza Felix S
Department of Urology, Government Medical College, Kozhikode, Kerala, India.
Urol Ann. 2021 Jan-Mar;13(1):56-61. doi: 10.4103/UA.UA_20_20. Epub 2020 Nov 4.
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.
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.
In LPL arm, there was a significant reduction in the day of the drain or nephrostomy removal ( = 0.013) and in the number of patients with persistent leak after removal of drain or nephrostomy ( = 0.048). Apart from this, the median of postoperative hospital stay was also significantly less in LPL arm ( = 0.00005). However, the mean duration of surgery was significantly higher in the LPL arm ( = 0.00001).
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.
在本研究中，我们的目的是比较在我们的人群中接受肾盂结石手术的患者经皮肾镜取石术（PCNL）和腹腔镜肾盂切开取石术（LPL）之间的发病率（长达3个月）。
这是一项在一家泌尿外科三级护理中心进行的回顾性研究，研究对象为2016年1月1日至2018年12月31日期间接受PCNL或LPL治疗肾盂结石的患者。样本量为70例，每组35例。
在LPL组，引流管或肾造瘘管拔除日（P = 0.013）以及引流管或肾造瘘管拔除后持续性漏液的患者数量（P = 0.048）均有显著减少。除此之外，LPL组术后住院时间中位数也显著更短（P = 0.00005）。然而，LPL组手术平均时长显著更长（P = 0.00001）。
本研究表明，除了一些因素外，LPL和PCNL的发病率结果几乎相当。然而，本研究是对我们工作的回顾性分析，需要高质量的随机对照研究来确定这两种手术在我们人群中的差异。
