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Should surgeons control fluoroscopy during urology procedures?

Jeremy Setterfield1, James Watterson1, Mathew Playfair2

  • 1Department of Urology, The Ottawa Hospital, Ottawa, ON, Canada.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
|December 29, 2016
PubMed
Summary
This summary is machine-generated.

Switching fluoroscopy control from surgeons to radiation technologists (RT) did not significantly impact overall procedure times. However, RT control decreased fluoroscopy and operative times for ureteroscopy with laser lithotripsy, while surgeon control benefited ureteroscopy alone.

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Area of Science:

  • Urology
  • Medical Imaging
  • Surgical Workflow Optimization

Background:

  • Evaluating the impact of shifting fluoroscopy control from surgeons to radiation technologists (RT) on procedure efficiency.
  • Identifying key factors influencing fluoroscopy and operative times in ureteroscopy (URS) with laser lithotripsy.

Purpose of the Study:

  • To compare fluoroscopy and operative times before and after implementing RT-controlled fluoroscopy.
  • To determine factors affecting procedure duration for URS with laser lithotripsy.

Main Methods:

  • Retrospective analysis of patients undergoing fluoroscopy-guided urological procedures.
  • Comparison of median fluoroscopy and operative times between surgeon-controlled and RT-controlled fluoroscopy cohorts.
  • Multivariate analysis to identify predictors of prolonged fluoroscopy and operative times in URS with laser lithotripsy.

Main Results:

  • No significant difference in overall fluoroscopy or operative times between surgeon- and RT-controlled cohorts.
  • RT-controlled fluoroscopy was associated with decreased fluoroscopy and operative times for URS with laser lithotripsy (p<0.01).
  • Surgeon-controlled fluoroscopy was associated with decreased fluoroscopy time for URS alone (p=0.01).

Conclusions:

  • The control of fluoroscopy by surgeons versus RT does not significantly alter overall urologic procedure times.
  • RT-controlled fluoroscopy offers efficiency benefits for ureteroscopy with laser lithotripsy.
  • Surgeon-controlled fluoroscopy may be more efficient for ureteroscopy procedures without laser lithotripsy.