Comparison analyses of laparoscopic and open pyeloplasty in patients with uretero-pelvic junction obstruction

Comparison of results of laparoscopic (LP) and open(OP) pyeloplasties. We compare retrospectively 35 patients who undergone LP with 50 OP in period from 2010 till 2015y. In comparative analysis of LP and OP we conclude that: mean operative time for LP and OP was 163 min versus 103 (P<0.01), blood loss 31ml versus 132 ml (P<0.01), dosage of used analgesics (diclofenac) after procedure 75mg versus 300 mg (P<0.01), average length of incision 1.6 CM versus 17CM (P<0.01), shortening of hospital stay days 3 versus 8 days (P<0.01), early returning to normal feed state 22 hours versus 30 hours (P<0.01). Intraoperative complications in LP group has been 5.7 % (two patients has been needed for PCN in early postoperative days because of excessive urine leakage from paranephral drain tube) and 6% for OP (3 patients had high temperature which need additional drug requirement).17 patients (34%) in open group had pain in lumbar area “scar pain” after 6th month of operation. In that time only 4(11.4%) of patients from LP had such kind of pain. High effectiveness and low degree of pain in post operative wound makes LP more attractive in treatment of uretero-pelvic junction obstruction