Outcome from 5-year live surgical demonstrations in urinary stone treatment: are outcomes compromised?

World Journal of Urology
Jaap D LegemateJean J de la Rosette

Abstract

To compare intra- and post-operative outcomes of endourological live surgical demonstrations (LSDs) and routine surgical practice (RSP) for urinary stones. Consecutive ureterorenoscopic (URS) and percutaneous (PNL) urinary stone procedures over a 5-year period were reviewed. Procedures were divided into LSDs and RSP. Differences between the groups were separately analysed for URS and PNL. Primary outcomes included intra- and post-operative complication rates and grades. Secondary outcomes were operation time, length of hospital stay, stone-free rate, and retreatment rate. Pearson's Chi-square analysis, Mann-Whitney U test, and logistic and linear regression were used to compare outcomes between LSDs and RSP. During the study period, we performed 666 URSs and 182 PNLs, and 151 of these procedures were LSDs. Among URSs, the overall intra-operative complication rate was 3.2% for LSDs and 2.5% for RSP (p = 0.72) and the overall post-operative complication rate was 13.7% for LSDs and 8.8% for RSP (p = 0.13). Among PNLs, the overall intra-operative complication rate was 8.9% for LSDs and 5.6% for RSP (p = 0.52) and the overall post-operative complication rate was 28.6% for LSDs and 34.9% for RSP (p = 0.40). For both URSs and PNLs, no...Continue Reading

References

Dec 23, 2008·The American Journal of Gastroenterology·Zhuan LiaoUNKNOWN China ERCP Live Demonstration and Education Study Group
May 3, 2011·Lancet·David F KallmesKieren P Murphy
Apr 11, 2012·European Urology·Jean J M C H de la RosetteUNKNOWN CROES PCNL Study Group
Jul 24, 2012·Urology·Jeffrey K MullinsMichael D Stifelman
Sep 24, 2013·BJU International·Shahid A A KhanAbhay Rane
Feb 25, 2014·European Urology·Walter ArtibaniKeith F Parsons
Feb 14, 2015·The Journal of Urology·Andreas SkolarikosJean de la Rosette
Jun 9, 2016·Journal of Endourology·Yih Chyn PhanAbhay Rane

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Citations

Nov 11, 2017·World Journal of Urology·B RoccoV Pansadoro
Apr 24, 2018·World Journal of Urology·Jaap D LegemateJean J M C H de la Rosette
Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·George SkourasElena Skoura
Feb 20, 2021·Actas urologicas españolas·M A Rosado-UrteagaJ Prats
Jun 22, 2021·European Urology Focus·Umberto CarbonaraRiccardo Autorino

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