Surgical experience gained during an endourology f

Authors: Stavros Sfoungaristos Amitay Lorber Ofer N Gofrit Vladimir Yutkin Ezekiel H Landau Dov Pode Mordechai Duvdevani

Publish Date: 2015/04/18

Volume: 43, Issue: 4, Pages: 369-374

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Abstract

The purpose of this study was to identify parameters that affect fluoroscopy time during ureteroscopy or retrograde intrarenal surgery RIRS and to evaluate the potential role of surgical experience gained during a fellowship program in decreasing radiation exposure A database of patients who underwent ureteroscopy or RIRS was evaluated Procedures were performed either by an experienced Endourologist surgeon A or by an Endourology fellow Operations performed by the fellow were further divided to them performed during fellow’s 1st year of training surgeon F1 and 2nd year of training surgeon F2 The association between fluoroscopy time and several factors was evaluated Eighteen 196  procedures were performed by surgeon F1 13 141  by surgeon F2 and 61 663  cases were performed by surgeon A Fluoroscopy time was significantly higher in cases performed by surgeon F1 compared to surgeon F2 p = 0025 and A p = 0001 However there was no difference between surgeon F2 and A p = 0969 There was significant association between fluoroscopy time and obesity p = 0023 stone size p = 0009 surgical experience p = 0001 procedure duration p  0001 and the insertion of a postoperative doubleJ stent p  0001 Multivariate analysis showed that procedure duration p = 0003 postoperative stenting p = 0009 and surgeon’s experience p  0001 were all significant independent predictors of increased fluoroscopy time Fluoroscopy time may widely vary during ureteroscopy and RIRS Procedure duration the insertion of a postoperative doubleJ stent and surgical experience are all independent predictors of increased fluoroscopy time

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