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World Journal of Urology

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01-02-2013 | Original Article

Influence of surgeon’s experience on fluoroscopy time during endourological interventions

Authors: M. Ritter, F. Siegel, P. Krombach, A. Martinschek, C. Weiss, A. Häcker, A. E. Pelzer

Published in: World Journal of Urology | Issue 1/2013

Abstract

Introduction and objective

Fluoroscopy time influences radiation exposure of both surgeons and patients during endourological interventions. Changes in fluoroscopy habits of endourological surgeons after being informed about their fluoroscopy times were evaluated depending on their endourological experience.

Materials and methods

From April 2010 to April 2011, 402 endourological interventions in 337 Patients were assessed. Evaluated interventions were ureter stent placement (USP), ureter stent change (USC) nephrostomy change (NC), ureterorenoscopy (URS) and percutaneous nephrolithotomy (PCNL). Fluoroscopy time (FT) and operation time (OT) were recorded. For USP, USC and NC, the surgeons were divided into two groups: group I with >2 years of endourological experience and group II with <2 years experience. URS and PCNL only were performed by experienced surgeons. After 6 months, all surgeons were informed about their mean detected results. Both groups were compared, and changes in FT and OT in the second part of the study were analysed.

Results

Surgeons reduced their median fluoroscopy times up to 55 % after being informed about their fluoroscopy manners. Experienced surgeons reduced both operation and fluoroscopy times significantly for USP, USC and NC. For URS and PCNL, and OT and FT, the differences were not statistically significant. Inexperienced surgeons were not able to reduce both OT and FT significantly.

Conclusion

If experienced surgeons are informed about their fluoroscopy time during endourological interventions, fluoroscopy times can be reduced significantly in easy procedures, which leads to less radiation exposure of surgeons and patients. Inexperienced surgeons have less possibility to influence their fluoroscopy manners.

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Title: Influence of surgeon’s experience on fluoroscopy time during endourological interventions
Authors: M. Ritter
F. Siegel
P. Krombach
A. Martinschek
C. Weiss
A. Häcker
A. E. Pelzer
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: World Journal of Urology / Issue 1/2013
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-012-0923-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Influence of surgeon’s experience on fluoroscopy time during endourological interventions

Abstract

Introduction and objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and objective

Materials and methods

Results

Conclusion

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