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Re: Evaluation of Novel Ball-Tip Holmium Laser Fiber: Impact on Ureteroscope Performance and Fragmentation Efficiency
Urological Survey Laparoscopy/New Technology Re: Evaluation of Novel Ball-Tip Holmium Laser Fiber: Impact on Ureteroscope Performance and Fragmentation Efficiency R. H. Shin, J. M. Lautz, F. J. Cabrera, C. J. Shami, Z. G. Goldsmith, N. J. Kuntz, A. G. Kaplan, A. Neisius, W. N. Simmons, G. M. Preminger and M. E. Lipkin Division of Urologic Surgery, Duke University Medical Center, and Department of Mechanical Engineering and Materials Science, Duke University, Durham, North Carolina, and Department of Urology, University Medical Center Mainz, Mainz, Germany J Endourol 2016; 30: 189e194. doi: 10.1089/end.2015.0300
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26472696 Editorial Comment: As the life expectancy of our flexible ureteroscopes becomes of increasing financial concern, any innovation that can decrease damage is welcome. For laser lithotripsy we are all aware that just the act of passing the laser fiber can damage the working channel. The authors evaluated in vitro a novel ball tip holmium laser fiber developed to minimize working channel damage. In fact, fiber insertion force was much less than with standard flat tip fibers. Equally important, at various energy settings there were no differences in scope deflection, laser tip degradation or stone comminution. Clinical experience with this new fiber is needed. Jeffrey A. Cadeddu, MD
Re: The New Robotic TELELAP ALF-X in Gynecological Surgery: Single-Center Experience F. Fanfani, G. Monterossi, A. Fagotti, C. Rossitto, S. Gueli Alletti, B. Costantini, V. Gallotta, L. Selvaggi, S. Restaino and G. Scambia Division of Gynecologic Oncology, Department of Women and Child Health, Catholic University of the Sacred Heart, Rome and Minimally Invasive Gynecology, St. Maria Hospital, University of Perugia, Terni, Italy Surg Endosc 2016; 30: 215e221. doi: 10.1007/s00464-015-4187-9
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/25840895 Editorial Comment: There is a new commercially available surgical robotic system being evaluated and now available in Europe. The system consists of a remote control unit and manipulator arms that use nonwristed reusable laparoscopic instruments. It provides 3-dimensional vision, incorporates a novel eye tracking camera control system and provides haptic feedback to the console surgeon. The authors evaluated the system in 146 patients undergoing several gynecologic procedures, including oophorectomy, myomectomy and hysterectomy, demonstrating feasibility and safety of the technology. No control group was studied. I expect we will see more groups evaluating this system as we may finally enter the age of competition in the robotic surgery marketplace. Jeffrey A. Cadeddu, MD
0022-5347/16/1961-0001/0 THE JOURNAL OF UROLOGY® Ó 2016 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2016.03.158 Vol. 196, 1, July 2016 Printed in U.S.A.
www.jurology.com
j
1
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26472696 Editorial Comment: As the life expectancy of our flexible ureteroscopes becomes of increasing financial concern, any innovation that can decrease damage is welcome. For laser lithotripsy we are all aware that just the act of passing the laser fiber can damage the working channel. The authors evaluated in vitro a novel ball tip holmium laser fiber developed to minimize working channel damage. In fact, fiber insertion force was much less than with standard flat tip fibers. Equally important, at various energy settings there were no differences in scope deflection, laser tip degradation or stone comminution. Clinical experience with this new fiber is needed. Jeffrey A. Cadeddu, MD
Re: The New Robotic TELELAP ALF-X in Gynecological Surgery: Single-Center Experience F. Fanfani, G. Monterossi, A. Fagotti, C. Rossitto, S. Gueli Alletti, B. Costantini, V. Gallotta, L. Selvaggi, S. Restaino and G. Scambia Division of Gynecologic Oncology, Department of Women and Child Health, Catholic University of the Sacred Heart, Rome and Minimally Invasive Gynecology, St. Maria Hospital, University of Perugia, Terni, Italy Surg Endosc 2016; 30: 215e221. doi: 10.1007/s00464-015-4187-9
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/25840895 Editorial Comment: There is a new commercially available surgical robotic system being evaluated and now available in Europe. The system consists of a remote control unit and manipulator arms that use nonwristed reusable laparoscopic instruments. It provides 3-dimensional vision, incorporates a novel eye tracking camera control system and provides haptic feedback to the console surgeon. The authors evaluated the system in 146 patients undergoing several gynecologic procedures, including oophorectomy, myomectomy and hysterectomy, demonstrating feasibility and safety of the technology. No control group was studied. I expect we will see more groups evaluating this system as we may finally enter the age of competition in the robotic surgery marketplace. Jeffrey A. Cadeddu, MD
0022-5347/16/1961-0001/0 THE JOURNAL OF UROLOGY® Ó 2016 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2016.03.158 Vol. 196, 1, July 2016 Printed in U.S.A.
www.jurology.com
j
1