Resultaten van vijf jaar live chirurgie voor endo-urologische behandeling van urinewegstenen: Zijn de uitkomsten in het gedrang?

This retrospective study compares treatment outcomes for urinary stones of live surgical procedures (LSP) and routine surgical procedures (RSP). Over a five-year period, 666 ureteroscopic (URS) and 182 percutaneous (PNL) procedures were performed, of which 151 LSP’s. Among the URS-groups, the intra- and postoperative complication rates were 3.2% for LSP and 2.5% for RSP (p = 0.72), respectively 13.7% for LSP and 8.8% for RSP (p = 0.13). Among the PNL-groups, the intra- and postoperative complication rate were 8.9% for LSP and 5.6% for RSP (p = 0.52), respectively 28.6% for LSP and 34.9% for RSP (p = 0.40). There were no statistically significant differences in Clavien-Dindo complication grades within the URS- and PNL-groups. Multiple regression analyses revealed no association between LSP and less favorable outcomes as compared to RSP. Live surgical endourological demonstrations, as performed in this setting, do not seem to compromise outcomes.