In our study, we discovered that the surgery group was younger (P = 0.040), had a higher albumin level on admission (P = 0.001), had a lower ASA score (P = 0.002), had less AKI at presentation (P = 0.002), and had fewer mortalities during follow up time and we don’t have any conversion as all cases managed by laparoscopy [29]. This evidence concerns the gene ALB and acute kidney injury.