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Volume 13
Issue 4
Online publication date 2012-12-15
Title Comparative evaluation of the economic costs in patients underwent endoscopic surgery on nephrolithiasis in dependence on presence or absence of surgical complications
Author Farhod Akilov, Shukhrat Giyasov, Shukhrat Mukhtarov, Furkat Nasirov
Abstract
Main aim of our study was to evaluate economic costs associated with the elimination of complications of endoscopic treatment of nephrolithiasis. 
We retrospectively analyzed medical reports of the 1027 patients (597 men - 58.1% and 430 women - 41.9%),  at age (mean±SD) 38.9±15.6. There were 22 (2.1%) intraoperative complications observed in 14 (1.4%) patients. These patients got into amount of 180 (17.5%) patients developed 235 complications in the postoperative period. Fifty nine additional interventions were required for the elimination of observed complications. Postoperative hospital stay among 180 patients was 7.02±0.42 days, compared to 4.31±0.07 days in 847 patients without complications (p<0.05), duration of kidney draining 7.07±0.91 and 2.43±0.10 correspondingly (p<0.01).
Complications occurred during postoperative period in patients who underwent endoscopic surgery for nephrolithiasis prolong hospital stay up to 56%, and increases the cost of treatment up to 25%. The study of prevention of infectious and inflammatory complications, as well as other intra- and postoperative complications evidently will lead to reduction the costs of endoscopic methods of nephrolithiasis treatment.

Citation
References
Ahmet Tefekli, Mert Ali Karadag, Kadir Tepeler, Erhan Sari, Yalcin Berberoglu, Murat Baykal, Omer Sarilar, Ahmet Yaser Muslumanoglu, 2008. “Classification of percutaneous nephrolithotomy complications using the modified clavien grading system: Looking for a standard,” Еuropean urology, Vol.53(1), pp.184-190

Aron, M., Yadav, R., Goel, R. et al., 2005. “Multi-tract percutaneous nephrolithotomy for large complete-staghorn calculi,” Urol Int, Vol.75, pp.327-32

Dindo, D., Demartines, N., Clavien, PA., 2004. “Classification of surgical complications a new proposal with evaluation in a cohort of 6336 Patients and Results of a Survey,” Ann Surg, Vol.240(2), pp.205-13

de la Rosette, J., Assimos, D., Desai, M. et al., 2011. “The clinical research office of the endourological society percutaneous nephrolithotomy global study: Indications, complications, and outcomes in 5803 patients,” J Endourol, Vol.25(1), pp.11-17

Dogan, H., Sahin, A., Cetinkaya, Y., Akdogan, B., Ozden, E., Kendi, S., 2002. “Antibiotic prophilaxis in percutaneous nephrolithotomy: Prospective study in 81 patients,” J Endourol, Vol.16, pp.649-53

Giyasov, Sh., 1997. Comparative evaluation of open and percutaneous surgery in staghorn nephrolithiases [Sravnitelnaya osenka otkrytoy i chreskozhnoy hirurgii korallovidnogo nefrolitiaza], in Russian, Synopsis of doctoral dissertation

Giyasov, Sh., Nasyrov, F., 2012. “Analysis of the frequency and causes of postoperative infectious and inflammatory complications of endoscopic surgery of nephrolithiasis,” in Russian, Materials of 10 conference, Journal of Emergency Medicine, [Vestnil Ekstrennoy Mediciny], in Russian, No.2, p.38

Gonzalgo, M., Pavlovich, C., Trock, B., Link, R., Sullivan, W., Su, L., 2005. “Classification and trends of postoperative morbidities following laparoscopic radical prostatectomy,” J. Urol., Vol.174, pp.139-39

Guillonneau, B., Rozet, F., Cathelineau, X., Lay, F., Barret, E., Doublet, J. et al., 2002. “Perioperative complications of laparoscopic radical prostatectomy: The Montsouris 3-year experience,” J. Urol., Vol.167, pp.51-56

Jacobs, S., Cho, E., Foster, C. et al., 2004. “Laparoscopic donor nephrectomy: The University of Maryland 6-year experience,” J. Urol., Vol.171, pp.47-51

Juldashev, F., 1998. The incidence of urolithiasis in Uzbekistan, and ways of its reduction [Zabolevaemost mochekamennoy boleznyu v Uzbekistane i puti eyo snizheniya], in Russian, Synopsis of doctoral dissertation

Kocak, B., Koffron, A., Baker, T. et al., 2006. “Proposed classification of complications after live donor nephrectomy,” Urology, Vol.67, pp.927-31

Lee, W., Smith, A., Cubelli, V. et al., 1987. “Complications of percutaneous nephrolithotomy,” AJR Am J Roentgenol, Vol.148, pp.177-80

Martin, R., Brennan, M., Jaques, D., 2002. “Quality of complication reporting in the surgical literature,” Ann. Surg., Vol.235(6), pp.803-13

Michel, M., Trojan, L., Rassweiler, J., 2007. “Complications in percutaneous nephrolithotomy,” Eur Urol, Vol.51(4), pp.899-906

Negrete-Pulido, O., Gutierrez-Aceves, J., 2009. “Menegement of  Infectious complications in percutaneous nephrolithotomy,” J Endourol, Vol.23(10), pp.1757-762

Lewis, S., Patel, U., 2004. “Major complications after percutaneous nephrostomy-lessons from a department audit,” Clin Radiol, Vol.59(2), pp.171-79

Ritter, M., Krombach, P., Michel, M., 2011. “Percutaneous stone removal,” Eur. Urol. Supp., Vol.10(5), pp.433-39
 
Skolarikos, A., Alivizatos, G., de la Rosette, J., 2005. “Percutaneous nephrolithotomy and its legacy,” Eur.Urol., Vol.47(1), pp.22-28

Teber, D., Tefekli, A., Eskicorapci, S. et al., 2006. “Retroperitoneoscopy: A versatile access for many urologic indications,” Eur. Urol. Suppl., Vol.5(19), pp.975-82

Vorrakipokatorn, P., Permtongchuchai, K., Raksamani, E., Phettongkam, A., 2006. “Perioperative complications and risk factors of percutaneous nephrolithotomy,” J Med Assoc Thai, Vol.89(6), pp.826-33

Keywords Urolithiasis, endoscopic interventions, complications, cost
DOI http://dx.doi.org/10.15208/mhsj.2012.63
Pages 69-73
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