Premium
One‐surgeon basketing technique for stone extraction during flexible ureteroscopy for urolithiasis: A comparison between novice and expert surgeons
Author(s) -
Anan Go,
Komatsu Kenji,
Hatakeyama Shingo,
Iwamura Hiromichi,
Kohada Yuki,
Mikami Jotaro,
Ito Jun,
Kaiho Yasuhiro,
Shimbo Masaki,
Endo Fumiyasu,
Yoneyama Takahiro,
Hashimoto Yasuhiro,
Ohyama Chikara,
Hattori Kazunori,
Sato Makoto
Publication year - 2020
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.14355
Subject(s) - medicine , ureteroscopy , ureter , perioperative , surgery , urology
Objective To determine the safety and efficacy of the one‐surgeon basketing technique for stone extraction during flexible ureteroscopy when carried out by novice surgeons under instructor guidance. Methods We retrospectively compared perioperative results, complications and the “stone‐free” rate (defined as ≤2 mm fragments on kidney–ureter–bladder imaging 1 month after flexible ureteroscopy) between experienced (group A, n = 50) and novice (group B, n = 50) surgeons using the one‐surgeon basketing technique. Results Baseline patients’ characteristics were similar between the two groups. There were no significant differences between groups A and B in operative time (mean 76 min vs 85 min, P = 0.46), stone‐free rate (98% vs 92%, P = 0.36), postoperative fever events (4% vs 4%, P = 1.00) and postoperative hospital stay (24 h vs 24 h, P = 1.00). Clavien–Dindo grade IIIa complications (ureter injury) were only observed in two cases (4%) in group B. Conclusions The one‐surgeon basketing technique for the extraction of stone fragments during flexible ureteroscopy might be safely and effectively carried out by surgeons with no prior experience under proper guidance.