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J Kirkegaard AM Ryhammer UT Larsen M Borre Dep . of Urology Dep . of Anaesthesiology and

Outpatient endoscopic treatment of ureteric stones - 5 years ’ experience in a self-contained outpatient surgery unit. J Kirkegaard AM Ryhammer UT Larsen M Borre Dep . of Urology Dep . of Anaesthesiology and Intensive Care University Hospital of Aarhus, Denmark.

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J Kirkegaard AM Ryhammer UT Larsen M Borre Dep . of Urology Dep . of Anaesthesiology and

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  1. Outpatientendoscopictreatment of uretericstones - 5 years’ experience in a self-containedoutpatientsurgery unit J Kirkegaard AM Ryhammer UT Larsen M Borre Dep. of Urology Dep. of Anaesthesiologyand Intensive Care University Hospital of Aarhus, Denmark

  2. Why day surgery? Results from the literature Good for the patients Good for the doctors Good for the taxpayers Day surgery, development & Practice,, 2006, At ourdepartment Long waiting lists Budget cuts

  3. in-patient section • physically separated • own staff • own management • run by two dedicated anaesthesiologists Day Surgery Unit

  4. Day Surgery Unit Arrival and departure point

  5. Day Surgery Unit Recovery room

  6. Results - patients 178 patients underwent 186 procedures includingonly endoscopic removal of uretericstones

  7. Results - stones Stone free rate: 85% Median stonesize 7 (5 – 9)* mm 157 of the 178 patients had 1 stone Proximalureter: 20% Medialureter: 20% Distalureter: 60% *Interquartile range

  8. Results Median operating time 53 (35 – 72)* minutes Median length of stay (arrival to departure) 4:06 hours (range 3:02 – 5:00)** *Interquartile range **Subsetanalysis

  9. Results - surgeon’s charge

  10. Results - complications

  11. Conclusion In a daysurgerysettingourresults on URSL regarding Stone free rate Operating times Complications Are satisfactory and comparable to thosereported in other studies (both in-patient and out-patient) Length of stay in the daysurgery unit is very short Can be done withoutsacrificingeducationalgoals

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