Lane Jenni, Whitehurst Lily, Hameed B M Zeeshan, Tokas Theodoros, Somani Bhaskar K
University Hospital Southampton NHS Trust, Southampton, UK.
Kasturba Medical College, Manipal, India.
Curr Urol Rep. 2020 Mar 24;21(4):17. doi: 10.1007/s11934-020-0970-9.
To present the latest evidence related to the impact of increased operative times in retrograde intrarenal surgery and identify possible important factors that can facilitate ureteroscopy procedures.
Ureteroscopy constitutes the mainstay treatment of renal stones and is characterized by a huge variation in techniques and instrumentation. It has been suggested that increased operative times can mitigate the outcomes of the procedures by increasing complication rates. Nevertheless, little is known about the time limits, above which complications are likely to occur. Furthermore, complication rates in different procedure durations have not yet been assessed. Prolonged operative times are linked to increased complication rates in ureteroscopy. Stone complexity, patient risk factors, surgeon experience, bilateral surgery, and instrumentation constitute important factors that can hamper or facilitate a procedure and should be taken into account beforehand. Keeping procedural times below 90 min can dissuade potential predicaments and achieve improved stone-free rates.
介绍与逆行肾内手术中手术时间延长的影响相关的最新证据，并确定可能有助于输尿管镜手术的重要因素。
输尿管镜检查是肾结石的主要治疗方法，其特点是技术和器械差异很大。有人认为，手术时间延长会增加并发症发生率，从而影响手术效果。然而，对于可能导致并发症的时间界限知之甚少。此外，不同手术时长的并发症发生率尚未得到评估。输尿管镜手术中，手术时间延长与并发症发生率增加有关。结石复杂性、患者风险因素、术者经验、双侧手术和器械是可能阻碍或促进手术的重要因素，术前应予以考虑。将手术时间控制在90分钟以内可避免潜在困境并提高结石清除率。
