1831 ROBOTIC FLEXIBLE URETERORENOSCOPIC SURGERY, FIRST PRESENTATION OF THE NEW ROBOT

Abstract

You have accessJournal of UrologyStone Disease: New Technology/SWL, Ureteroscopic or Percutaneous Stone Removal1 Apr 20111831 ROBOTIC FLEXIBLE URETERORENOSCOPIC SURGERY, FIRST PRESENTATION OF THE NEW ROBOT Remzi Saglam, Ahmet Sinan Kabakci, Erhan Koruk, and Zafer Tokatli Remzi SaglamRemzi Saglam Ankara, Turkey More articles by this author , Ahmet Sinan KabakciAhmet Sinan Kabakci Ankara, Turkey More articles by this author , Erhan KorukErhan Koruk Ankara, Turkey More articles by this author , and Zafer TokatliZafer Tokatli Ankara, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1850AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Flexible Uretero Renoscopic Laser Surgery (FURLAS) or Retrograde Intra Renal Surgery (RIRS) has been a widely used method. While precision is essential for the treatment, sometimes it is a time-consuming, difficult and tiresome method. Flexible devices are too fragile especially for the new beginners. However, the new robot is perfect for precision, eases learning, makes the operation less challenging for the user, and prevents the equipment from being damaged. Thanks to this robot, the doctors can sit and operate distant to the patient which enables them not to be exposed to radiation. The robot is also not tiresome for the doctors. METHODS The robot consists of two parts. The first part is the operating unit which stands near the patient, over the specially designed trolley. It can move up and down and to and fro, has some parts holding the camera not to move together with the hand piece. The hand piece holder of the flexible unit has adaptors for different types of flexible ureterorenoscopes (FURS) and provides a 270 degree rotation of the FURS. There is a movement mechanism for the deflection, rotating together with FURS. Another micromotor moves the laser fiber to and fro. The second part is a “control unit”, on the control table there are two monitors, one for endoscopy, another for fluoroscopic image. Computers and electronics are placed under the table. After connection of the FURS to the operating unit and inserting the flexible tip through the access sheet, it is possible to control every movement by remote control from the control unit, going forward into the kidney, rotating and deflecting the tip into the desired position. Pressing one button makes the tip stand in an exactly straight position; this prevents any possible damage in the equipment during fiber insertion. It is possible to adjust the water flow-rate by controlling the pump. This robot has been used in the treatment of 8 intrarenal stones and the easiness, preciseness and shortness of the operations was observed. RESULTS The robotic use of the FURS provides precise fragmentation of the stone in a short time; maneuvers of the tip were easier than the manual use. It was not tiresome for the doctor. CONCLUSIONS The robotic use of FURS is very easy to use, not tiring, and easy to learn, prevents damage of the FURS, and makes the operation shorter. The process of the improvement to see the position of the tip on the monitor, and to provide a memory to return to the previous position still maintains. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e734 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Remzi Saglam Ankara, Turkey More articles by this author Ahmet Sinan Kabakci Ankara, Turkey More articles by this author Erhan Koruk Ankara, Turkey More articles by this author Zafer Tokatli Ankara, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...