A new robot for flexible ureteroscopy: Development and early clinical results (IDEAL stage 1-2b)

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dc.contributor.authorSağlam, Remzi
dc.contributor.authorMüslümanoğlu, Ahmet Yaser
dc.contributor.authorTokatlı, Zafer
dc.contributor.authorÇaşkurlu, Turhan
dc.contributor.authorSarıca, Kemal
dc.contributor.authorTaşcı, Ali İhsan
dc.contributor.authorErkurt, Bülent
dc.contributor.authorSüer, Evren
dc.contributor.authorKabakcı, Ahmet Sinan
dc.contributor.authorPreminger, Glenn
dc.contributor.authorTraxer, Olivier
dc.contributor.authorRassweiler, Jens J.
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:55:58Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:55:58Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000344694300032
dc.descriptionPubMed ID: 25059998
dc.description.abstractBackground: An improved armamentarium has had a significant impact on the emerging role of flexible ureteroscopy (FURS) for the management of nephrolithiasis; however, FURS still represents a challenging technique. Objective: To examine a robotic device designed for FURS for its impact on ergonomics and outcome of the procedure based on the IDEAL (idea, development, evaluation, assessment, long-term study) framework. Design, setting, and participants: Roboflex Avicenna consists of a surgeon's console and a manipulator for the flexible ureterorenoscope. Following experimental evaluation of the prototype (IDEAL stage 1) and receipt of ethical approval, seven surgeons treated 81 patients (mean age: 42 yr [range: 6-68]) with renal calculi (mean volume: 1296 +/- 544 mm(3) [range: 432-3100 mm(3)]) in an observational study (IDEAL stage 2). Surgical procedure: Robotic FURS was performed with the Roboflex Avicenna robotic device. Outcome measurements and statistical analysis: Numerical data were analysed with the Mann-Whitney test, and categorical variables were analysed using the chi-square test or Fisher exact test. P values <0.05 were considered statistically significant. Results and limitations: Mean robot docking time was 59.6 +/- 45 s. Mean operative time was 74 min (range: 40-182). Mean fragmentation speed was 29.1 +/- 6.1 mm(3)/min. Ergonomics based on a validated questionnaire showed significant advantage for robotic FURS (total score: 5.6 vs 31.3; p < 0.01). A 10/12F-access sheath was used in 72 patients. Two cases required secondary FURS, one because of malfunction of the flexible digital ureteroscope and another because of larger residual fragments. In the remaining 79 cases, complete stone disintegration was accomplished. Conclusions: Roboflex Avicenna provides a suitable and safe platform for robotic FURS with significant improvement of ergonomics. Future studies should evaluate its impact on the clinical outcome of FURS. Patient summary: Robotic flexible ureteroscopy (FURS) was performed with the Roboflex Avicenna robotic device. Results showed that Roboflex Avicenna provides a suitable and safe platform for robotic FURS with significant improvement of ergonomics.
dc.identifier.citationSağlam, R., Müslümanoğlu, A. Y., Tokatlı, Z., Çaşkurlu, T., Sarıca, K., Taşcı, A. İ. ... Rassweiler, J. J. (2014). A new robot for flexible ureteroscopy: Development and early clinical results (IDEAL stage 1-2b). European Urology, 66(6), 1092-1100. https://dx.doi.org/10.1016/j.eururo.2014.06.047
dc.identifier.doi10.1016/j.eururo.2014.06.047
dc.identifier.endpage1100
dc.identifier.issn0302-2838
dc.identifier.issn1873-7560
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage1092
dc.identifier.urihttps://dx.doi.org/10.1016/j.eururo.2014.06.047
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2498
dc.identifier.volume66
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofEuropean Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectRobotics
dc.subjectTelesurgery
dc.subjectSurgical Manipulator
dc.subjectUrolithiasis
dc.subjectUreterorenoscopy
dc.subjectRetrograde Intrarenal Surgery
dc.subjectErgonomics
dc.titleA new robot for flexible ureteroscopy: Development and early clinical results (IDEAL stage 1-2b)
dc.typeArticle

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