Intraoperative evaluation of ureteral access sheath-related injuries using post ureteroscopic lesion scale

Basit Öğe Kaydı
dc.authorid0000-0001-9988-2944
dc.authorid0000-0002-5009-8435
dc.authorid0000-0002-0159-2090
dc.authorid0000-0002-4245-7506
dc.contributor.authorGüzelburç, Vahit
dc.contributor.authorGüven, Selçuk
dc.contributor.authorBoz, Mustafa Yücel
dc.contributor.authorErkurt, Bülent
dc.contributor.authorSoytaş, Mustafa
dc.contributor.authorAltay, Bülent
dc.contributor.authorAlbayrak, Selami
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:28Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:28Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000368537900005
dc.descriptionPubMed ID: 26539998
dc.description.abstractObjective: In the present study, intraoperative ureteral injuries inflicted during retrograde intrarenal surgery (RIRS) with ureteral access sheath (UAS) use were evaluated using the Post- Ureteroscopic Lesion Scale (PULS). Materials and Methods: Patients in whom a UAS was used during RIRS and for whom ureter images were video recorded during the procedure were included in the study. PULS grading was performed after UAS removal, and video sequences of all patients were viewed by a junior resident, a senior resident, and four experienced urologists and assessed according to the PULS. Ureteral lesions in distal, middle, proximal, and multiple locations were evaluated and compared according to the PULS scale. The inter-rater reliability of PULS grading among various urologists was also evaluated. Results: The evaluation comprised 101 patients. In 77 patients, 9.5/11.5 French UAS devices were used, and in 24 patients, 12/14 French UAS devices were used. The stone-free rate, clinical insignificant residual fragments, and final stone-free rate were 41.6%, 53.5%, and 98%, respectively. In 58.4% of the patients, no lesions were present according to PULS grading. No lesions of Grade 3 and above were found; however, there were lesions of Grade 1 and 2 in 38.6% and 2.9% of the patients, respectively. Injuries were found in the proximal ureter only and distal ureter only in 45.23% and 40.47% of the patients, respectively. Multiple injuries occurred in 5.94% of the patients (in 3.96% in the proximal and distal ureter, in 0.99% in the mid- and distal ureter, and in 0,99% in the proximal, mid-, and distal ureter). In the grading performed according to the PULS classification, there was a high accuracy among the residents and specialists. Conclusions: The assessment of UAS-induced injuries using standardized intraoperative methods will help to evaluate the procedure more objectively and will guide the postoperative follow-up of patients.
dc.identifier.citationGüzelburç, V., Güven, S., Boz, M. Y., Erkurt, B., Soytaş, M., Altay, B. ve Albayrak, S. (2016). Intraoperative evaluation of ureteral access sheath-related injuries using post ureteroscopic lesion scale. Journal Of Laparoendoscopic & Advanced Surgical Techniques, 26(1), 23-26. https://dx.doi.org/10.1089/lap.2015.0294
dc.identifier.doi10.1089/lap.2015.0294
dc.identifier.endpage26
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue1
dc.identifier.scopusqualityQ2
dc.identifier.startpage23
dc.identifier.urihttps://dx.doi.org/10.1089/lap.2015.0294
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3176
dc.identifier.volume26
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal Of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectIntraoperative Evaluation
dc.subjectUreteral Access
dc.subjectSheath-Related
dc.subjectUreteroscopic Lesion Scale
dc.titleIntraoperative evaluation of ureteral access sheath-related injuries using post ureteroscopic lesion scale
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu