Risk Factors for Ureteral Damage in Ureteroscopic stone Treatment: Results of the German Prospective Multicentre Benchmarks of Ureterorenoscopic Stone Treatment-Results in Terms of Complications, Quality of Life, and Stone-Free Rates Project

Lebentrau, Steffen; Muller, P. H.; Miernik, Arkadiusz; Schönthaler, Martin; Gilfrich, Christian; Peter, J.; Schostak, Martin; May, Matthias

doi:10.1159/000495072

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…S. Lebentrau и соавт. в проспективном мультицентровом исследовании отметили, что предоперационное стентирование мочеточника не снижает вероятность осложнений 1-ой и 2-ой степеней [20].…”

Section: результатыunclassified

Systematic approach in the evaluation of ureteroscopic complications.

Котов¹,

Nemenov²,

Perov³

et al. 2022

ECU

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Introduction. Currently, ureteroscopy has become the method of choice for the treatment of patients with ureter stone location in lower third and middle third. Regardless of the fact that ureteroscopy is an endoscopic, minimally invasive intervention, it is associated with intraoperative complications. Purpose. The main objective of this literature review is to objectify the existing scales of ureter injury, demonstrate evolutionary changes from simple to more detailed, evaluate their advantages and disadvantages, and select the optimal and reproducible tool for assessing postureteroscopic complications. Materials and methods. In this literature review, we used research materials on existing scales of ureter injury published in the databases PubMed, the scientific electronic library of Russia (eLibrary), Scopus, EMBASE, websites of professional associations. Such keywords were used for searching: «postureteroscopic complications», «intraoperative complications of ureteroscopy», «ureteral injuries». This review focuses on the currently existing scales that assess ureteral injury, which can be universal and used in everyday practice. After a detailed check of the reliability of sources, the impact factors of journals and the sequence of presentation of the material, 28 sources were selected directly for citation. Results. According to literature review, historical and present-day knowledge of using postureteroscopic lesion scales in various surgical centers are presented here. Most of scales are focus on disruption of anatomical continuity of the ureter or on complications that develop during the implementation of surgical treatment, which are not specific for this procedure. However, the most detailed description of postureteroscopic complications makes it possible to distinguish between «complicated» and «uncomplicated» ureteroscopy. Conclusion. Thus, PULS scoring system is a standardized and easily reproducible tool in the evaluation of postureteroscopic complications. The emergence of new scales only emphasizes the importance and need for additional prospective and multicenter studies.

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Section: результатыunclassified

Systematic approach in the evaluation of ureteroscopic complications.

Котов¹,

Nemenov²,

Perov³

et al. 2022

ECU

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“…Due to its minimal invasiveness and acceptable level of difficulty, fURS has already been incorporated into many departments as a part of residents' training. On the other Urol Int 2020;104:452-458 DOI: 10.1159/000504989 hand, a persistent time pressure in the operation theatre, a substantial intra-and postoperative complication rate [5,6], as well as economic and logistic consequences of reusable flexible ureteroscope damage [7] challenge training aims, operative efficiency, and patient safety. The goal of our study was to retrospectively analyze the influence of residents' participation in fURS procedures on intraand postoperative outcomes.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Endourological Experience on Flexible Ureteroscopy Outcomes and Performance at Different Levels of Expertise: Retrospective Multifactorial Analysis

et al. 2020

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Introduction: The aim of this study was to analyze the influence of residents' participation in flexible ureteroscopy (fURS) on intra-and postoperative outcomes. Materials and Methods: Intra-and postoperative parameters were compared in a retrospective monocentric setting between 3 groups: "resident group" (47 cases) for surgeries performed by experienced residents alone, "consultant group" (245 cases) for surgeries performed by consultants alone, "resident plus consultant group" (124 cases) for training surgeries between September 2013 and June 2017. Results: Patients operated by residents alone had a significantly smaller median kidney stone diameter (5.0 vs. 7.0 mm for "consultant group" and 6.0 mm for "resident plus consultant group," p = 0.011), shorter operating time (median 47.0 vs. 63.0 and 77.0 min, p < 0.001) and fluoroscopy time (median 39.0 vs. 69.5 and 89.0 s, p < 0.001), as well as shorter postoperative hospital stay (p = 0.013). The laser application rate was the smallest in the "resident group" (10.64 vs. 31.43 and 29.84%, p = 0.009). Univariate analysis revealed no relevant differences regarding flexible ureteroscope defect rate, postoperative stone-free rate, or ≥2 Clavien-Dindo classification complications between the groups (p > 0.05). Conclusion: A proper case selection of less complicated cases, especially without laser application, could balance the experience deficit of the residents. fURS can be incorporated as a part of residents' training without an impact on fURS device defect rate or clinical outcomes.

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Transurethrale Eingriffe des oberen Harntraktes

Ribbeck

Knoll

2021

Komplikationen in Der Urologie

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Risk Factors for Ureteral Damage in Ureteroscopic stone Treatment: Results of the German Prospective Multicentre Benchmarks of Ureterorenoscopic Stone Treatment-Results in Terms of Complications, Quality of Life, and Stone-Free Rates Project

Cited by 5 publications

References 14 publications

Systematic approach in the evaluation of ureteroscopic complications.

Systematic approach in the evaluation of ureteroscopic complications.

The Impact of Endourological Experience on Flexible Ureteroscopy Outcomes and Performance at Different Levels of Expertise: Retrospective Multifactorial Analysis

Transurethrale Eingriffe des oberen Harntraktes

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