الفهرس | Only 14 pages are availabe for public view |
Abstract Considerable debate exists as to what constitutes the optimal therapeutic approach for large renal stones. Though. PC~ L is the preferable treatment modality for the treatment of large renal pelvic stones. successful laparoscopic management of renal stones have been described. These make our concern to be raised regarding which is more effective and safer in the management of large renal pelvic stones. Therefore. we aimed in the current study to comprehensively evaluate and to compare the outcome of percutaneous nephrolithotomy (PC’-JL) and laparoscopic pyelolithotomy (LP) in the management of large renal pelvic stones with regards to: operati ve time. stone free rate. success rate. hospital stay and convalescence. complications and safety of both approaches.To achieve this purpose a t01::11of 60 patients were included in this study between February 2011 and September 2013. All patients with single renal pelvis stones with diameter > 2cm and no contraindicarions to perform the operation in the prone position for PC Land laparoscopy were included in this study. While patients with Stag-horn stones. multiple renal stones. elevated serum creatinine. recurrent renal stones after open surgery or PCNL patients with past history of open abdominal surgery. patients with uncorrectable coagulopathy. and those with congenital anomalies in the kidney such as horse-shoe kidney and ectopic pelvic kidney. were excluded. |