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
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Oktay Özman [3] ; Sinharib Çitgez [4] ; Cem Bașataç [5] ; Hacı Murat Akgül [1] ; Göktuğ Kalender [4] ; Cenk Murat Yazici [1] ; Yılören Tanidir [2] ; Haluk Akpinar [5] ; Bülent Önal [4]
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[1] Namık Kemal University
Namık Kemal University
Turquía
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[2] Marmara University
Marmara University
Turquía
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[3] The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands
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[4] Urology Department, Cerrahpaşa Medical Faculty, İstanbul University-Cerrahpaşa, 34000 Istanbul, Turkey
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[5] Department of Urology, Group Florence Nightingale Hospitals, 34000 Istanbul, Turkey
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- Localización: Archivos españoles de urología, ISSN 0004-0614, Tomo 76, Nº. 6 (August), 2023, págs. 454-459
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
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Resumen
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.
