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Safety of Live Retrograde Intrarenal Surgery; Results from a Boutique Course Series
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  • Oktay Ozman,
  • Sinharib Citgez,
  • Cem Basatac,
  • Murat Akgul,
  • Cenk Murat Yazıcı,
  • Yiloren Tanidir,
  • Haluk Akpinar,
  • Bulent Onal
Oktay Ozman
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Sinharib Citgez
Istanbul University-Cerrahpasa Cerrahpasa Faculty of Medicine
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Cem Basatac
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Murat Akgul
Namik Kemal University Faculty of Medicine
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Cenk Murat Yazıcı
Namik Kemal University Faculty of Medicine
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Yiloren Tanidir
Marmara University School of Medicine
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Haluk Akpinar
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Bulent Onal
Istanbul Universitesi-Cerrahpasa
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Abstract

Introduction: This study aims to investigate the outcomes and complication rates of patients undergoing retrograde intrarenal surgery (RIRS) at the live surgery events organized as boutique course series. Materials and Methods: Eight RIRS courses were organized between November 2017 and February 2020. Data of 24 patients who were operated in the live surgery events (as LSE group) for renal stone were matched with the data of 24 substitute patients (as control group) who underwent regular RIRS on the same period at the same centers.. Results: Stone free status of groups was similar (88% in LSE and 79% in the control group; p=1). There was no significant difference in terms of complication and need for additional procedure rates, operation and fluoroscopy and hospitality times between the two groups (p=1, p=1, p=0.12, p=0.58 and p=0.94, respectively). Fifty-four % (13/24) of LSE operations were performed by guest surgeons. No statistically significant difference was found between the patients who operated by host and guest surgeons. However, the operation times of the operations performed by guest surgeons were longer than those performed by the host surgeons (96.5±28 and 66.5±30 minute, respectively, p=0.07). Conclusion: Our study is the first report on this area. RIRS live surgery can be performed with low complication and high stone-free rates without jeopardizing patient safety. If the surgeon is not familiar with the operating room set-up or staffs, the live surgery must performed by the host surgeon to avoid extended operating time.

Peer review status:UNDER REVIEW

28 Nov 2020Submitted to International Journal of Clinical Practice
29 Nov 2020Assigned to Editor
29 Nov 2020Submission Checks Completed
03 Dec 2020Reviewer(s) Assigned