Safety of Live Retrograde Intrarenal Surgery; Results from a Boutique
Course Series
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.