Complications of Flexible Ureteroscopic Treatment for Renal and Ureteral Calculi during the Learning Curve

• 資料種別: 博士論文
• タイトル: Complications of Flexible Ureteroscopic Treatment for Renal and Ureteral Calculi during the Learning Curve
• 著者・編者: Komori, Masatsugu; Izaki, Hirofumi; Daizumoto, Kei; Tsuda, Megumi; Kusuhara, Yoshito; Mori, Hidehisa; Kagawa, Junichiro; Yamaguchi, Kunihisa; Yamamoto, Yasuyo; Fukumori, Tomoharu; Takahashi, Masayuki; Kanayama, Hiro-omi; Sakaki, Manabu; Nakatsuji, Hiroyoshi; Hamao, Takumi; Miura, Hiroyasu
• 著者標目: Komori, Masatsugu; Izaki, Hirofumi; Daizumoto, Kei; Tsuda, Megumi; Kusuhara, Yoshito; Mori, Hidehisa; Kagawa, Junichiro; Yamaguchi, Kunihisa; Yamamoto, Yasuyo; Fukumori, Tomoharu; Takahashi, Masayuki; Kanayama, Hiro-omi; Sakaki, Manabu; Nakatsuji, Hiroyoshi; Hamao, Takumi; Miura, Hiroyasu
• 出版事項: S. Karger AG
• 出版年月日等: 2015-03-27
• 出版年（W3CDTF）: 2015-03-27
• 並列タイトル等: 腎尿管結石に対する軟性尿管鏡による治療の合併症と学習曲線; Complications of Flex URS for Renal and Ureteral Calculi during the Learning Curve
• タイトル（掲載誌）: Urologia Internationalis
• 巻号年月日等（掲載誌）: 95 1
• 掲載巻: 95
• 掲載号: 1
• 掲載ページ: 26-32
• ISSN（掲載誌）: ISSN : 0042-1138; ISSN : 1423-0399
• 授与機関名: 徳島大学
• 授与年月日: 2018-07-26
• 報告番号: 甲第3202号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Flexible transureterolithotripsy; Learning curve; Complication; Urolithiasis; Septic shock
• 対象利用者: 一般
• 一般注記: Background: The flexible ureterorenoscope (URS) and associated devices have developed rapidly. However, despite its therapeutic benefits, URS may be associated with some complications. To the best of our knowledge, there are no studies discussing the complications of flexURS during the learning curve. Methods: A retrospective review of the records of patients who underwent flexURS from January 2005 to June 2013 was performed. To compare the complications after the introduction of flexURS, patients were divided into four groups based on the surgeon’s training experience, that is, based on the number of cases performed by the surgeon. A total of 219 cases underwent flexURS. Groups 1, 2, 3, and 4 included 35, 50, 50, and 84 cases, respectively. The complications were classified using the Clavien system (I–IV). Results: The mean operation time and stone-free rate were significantly different (p < 0.001, p = 0.013, respectively). The total complication rates were 13.6, 10, 8.3, and 3.2%, respectively (p = 0.068). The more the surgeon’s experience, the less was the complication rate. Despite our best efforts, the incidence of urosepsis was not reduced (p = 0.902). Conclusions: To reduce severe complications, it is necessary to have performed about 100 cases. Increased surgeon experience tended to decrease the risk of severe complications, but the incidence of urosepsis was not reduced.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 著作権情報: © 2015 S. Karger AG, Basel
• 関連情報（DOI）: 10.1159/000368617
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/11/112031/20180807161825879798/k3202_abstract_review.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/112031/20180807161826196161/k3202_fulltext.pdf fulltext