Factors Predicting Operating Room Time in Ureteroscopy and Ureterorenoscopy
Ioannis Katafigiotis1,2, Itay M Sabler1, Eliyahu M Heifetz3
1Department of Urology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Current Urology
|October 12, 2019
Summary
Surgical team experience and operating room factors significantly impact operating room (OR) time during ureteroscopy for kidney stones. Optimizing these elements can improve surgical efficiency and outcomes.
Area of Science:
- Urology
- Endourology
- Surgical Outcomes
Background:
- Operating room (OR) time is a critical factor influencing surgical outcomes, complication rates, and hospital economics.
- Efficient OR utilization is paramount in surgical programs.
Purpose of the Study:
- To identify key predictors of operating room time in patients undergoing ureteroscopy or ureterorenoscopy for ureteral and renal stones.
- To understand factors affecting surgical efficiency in endourological procedures.
Main Methods:
- Retrospective analysis of 570 consecutive patients undergoing ureteroscopy/ureterorenoscopy for stone treatment.
- Evaluation of demographic data, stone characteristics, equipment, surgeon/nurse experience, and OR characteristics.
- Multivariate linear regression analysis to determine significant predictors of OR time.
Main Results:
- Eight factors significantly influenced OR time: total stone volume, ureteroscope type, stone number, nurse experience, stone radio-opacity, surgeon experience, operating room type, and pre-operative nephrostomy tube placement.
- Surgeon and nursing staff experience emerged as crucial elements.
Conclusions:
- Surgical team experience and familiarity with endourological procedures are vital for optimizing OR time.
- Operating room characteristics play a significant role in the effectiveness and efficiency of stone treatment surgeries.
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