Ureteroscopy during pregnancy:Outcomes and lessons learned over 4 decades at a tertiary center in Norway
作者机构：Department of UrologyHaukeland University HospitalBergenNorway Department of Clinical MedicineUniversity of BergenBergenNorway Department of UrologyHaukeland University HospitalBergenNorway
出 版 物：《当代泌尿学（英文）》 (Current Urology)
年 卷 期：2023年第17卷第1期
页 面：7-12页
学科分类：0710[理学-生物学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：CB
主 题：Endourology Lithotripsy Pregnancy Ureteroscopy Urolithiasis
摘 要：Background:The management of suspected kidney stone disease in pregnancy is *** cases of persistent flank pain and where investigations may have rendered equivocal results,ureteroscopy(URS)is a recognized diagnostic and therapeutic *** study aimed to investigate the safety and outcomes associated with performing URS during pregnancy,as the technique has evolved over the past 4 decades at our center. Materials and Methods:We performed a retrospective analysis of pregnant patients who underwent URS at our tertiary center be-tween 1984 and *** of interest included anesthetic approach,operative time,hospital stay,and complications. Results:Eighty-seven pregnant patients underwent 96 URS procedures,and 60％(n=57)of these procedures were performed during the third ***,58％(n=56)of the procedures were achieved with local anesthesia and light *** the most recent decade,the latter was successfully carried out in 97％of the procedures,with the remainder occurring under spinal anesthesia as per patient ***,57％(n=50)of the whole study group had ureteral calculi found at the time of surgery and in 88％(n=44)of these cases,fragmentation/extraction was *** remainder had insertion of ureteral stent with definitive clearance de-ferred until *** operative time and postprocedure hospital stay was 33 minutes(range,7-100 minutes)and 2.2 days(range,0-16 days),*** overall intraoperative and postoperative complication rates were 2％and 11％,***-ing the final decade,the latter improved to 6％and all adverse events were minor(Clavien Ⅰ/Ⅱ),with the exception of a single ***-garding exit strategy,ureteral stent was placed in 42％(n=40)of the procedures,23％(n=22)had ureteral catheter inserted,and the remainder(35％,n=34)had none. Conclusions:Ureteroscopy can be safely performed during pregnancy using anesthetic approach with local anesthesia and light *** of a