Safety and Efficacy of Live Retrograde Intrarenal Surgery in Patients with Kindey Stone: Outcomes from a Boutique Course Series Which Complies with the Live Surgery Event Policies.

Autor:	Özman O; The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands.; Urology Department, Cerrahpaşa Medical Faculty, İstanbul University-Cerrahpaşa, 34000 Istanbul, Turkey., Çitgez S; Urology Department, Cerrahpaşa Medical Faculty, İstanbul University-Cerrahpaşa, 34000 Istanbul, Turkey., Başataç C; Department of Urology, Group Florence Nightingale Hospitals, 34000 Istanbul, Turkey., Akgül HM; Urology Department, Faculty of Medicine, Namık Kemal University, 34000 Istanbul, Turkey., Kalender G; Urology Department, Cerrahpaşa Medical Faculty, İstanbul University-Cerrahpaşa, 34000 Istanbul, Turkey., Yazici CM; Urology Department, Faculty of Medicine, Namık Kemal University, 34000 Istanbul, Turkey., Tanidir Y; Urology Department, School of Medicine, Marmara University, 34000 Istanbul, Turkey., Akpinar H; Department of Urology, Group Florence Nightingale Hospitals, 34000 Istanbul, Turkey., Önal B; Urology Department, Cerrahpaşa Medical Faculty, İstanbul University-Cerrahpaşa, 34000 Istanbul, Turkey.
Jazyk:	angličtina
Zdroj:	Archivos espanoles de urologia [Arch Esp Urol] 2023 Aug; Vol. 76 (6), pp. 454-459.
DOI:	10.56434/j.arch.esp.urol.20237606.55
Abstrakt:	Background: Live surgery events (LSEs) are frequently organized for sharing the surgical experiences with surgeons at the beginning of their learning curves. The aim of this study was to investigate whether the outcomes and complication rates of patients underwent retrograde intrarenal surgery (RIRS) at LSEs are comparable with regular cases. Methods: Ten courses were organized during 2017-2022. Data of 32 patients who operated in the LSEs were 1:3 matched (for stone burden and surgeon) with the data of patients who underwent regular RIRS within the course periods at the same centers (n = 96). All courses took place in concordance with the latest LSE policies. The primary outcomes were stone-free and complication rates. Fluoroscopy and operation times were the secondary outcomes. Results: Stone-free rates of the groups were similar (84% in LSE and 79% in control group; p = 0.520). Similarly, there were no differences in complication rates ( p = 0.428) and fluoroscopy time ( p = 0.477). Duration of the LSE cases (82.24 ± 31.12 min) was slightly but insignificantly longer than regular cases (73.77 ± 20.89 min, p = 0.092). Moreover, guest surgeons tend to have longer operation time with statistically insignificant prolongation (74.92 ± 30.43 min for host, 89.52 ± 28.34 min for guest surgeons, p = 0.064). Conclusions: RIRS can be performed without jeopardizing operation efficiency and patient safety in LSEs. If surgeon is not familiar with operating room set-up or staff, live surgery must be performed by host surgeon to avoid extended operating time. Competing Interests: Given his role as Guest Editor, Oktay Özman had no involvement in the peer-review of this article and has no access to information regarding its peer-review. (© 2023 The Author(s).)
Databáze:	MEDLINE
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