Related Comparisons Between Retroperitoneal Laparoscopic Pyeloplasty And Open Pyeloplasty

Objective: To compare the peritoneal laparoscopic and open Pyeloplasty fortreatment of UPJO, explore the techniques and advantages of the two surgical methods.Methods: collected the patients with Pyeloplasty operations from the First AffiliatedHospital of Xinjiang Medical University and the Autonomous Region People’s Hospitalbetween January2009to December2011, and met the inclusion criteria of patients a totalof62cases, including open group (38cases), laparoscopic group of (24cases). Comparetwo sets of preoperative general clinical basic material, and intraoperative postoperativestatus, and follow-up results. Results: all patients were successfully operated, the genderof the two groups before surgery, other side, surgical procedure, the two grouphydronephrosis light weight situation, preoperative BUN, preoperative blood inosine,preoperative blood hemoglobin concentration, preoperative coagulation function,postoperative complications, the difference was not statistically significant (P＞0.05). Themean operation time of the two sets of surgical approach, the mean bleeding time averageliquid food, and mean postoperative indwelling drainage tube, and the mean postoperativehospital days, medical expenses, long-term efficacy difference was statistically significant(P＜0.05). Conclusion: Compared with traditional open Pyeloplasty and peritoneallaparoscopic Pyeloplasty with less blood loss, shorter hospital stay, less trauma,postoperative recovery was fast, and fewer complications. But the operation time is farlonger than with open surgery group, the cost of health care costs higher than the opensurgery group, postoperative complications equal to open surgery. Simultaneous contrastthe two sets of surgical approach on long-term efficacy of open surgery for Pyeloplastymore advantages.