New-generation flexible ureterorenoscopes are more durable than previous ones

作者: Olivier Traxer , Francis Dubosq , Karim Jamali , Bernard Gattegno , Philippe Thibault

DOI: 10.1016/J.UROLOGY.2006.02.043

关键词:

摘要: Abstract Objectives To determine the deterioration in maximal active deflection and flow capabilities of a new-generation flexible ureteroscope (URS). Methods We performed 50 ureterorenoscopies using same URS: Karl Storz 11278 AU1 Flex-X, which is capable 270° ventral dorsal directions. Postoperatively, we evaluated deflection, irrigation at 100 cm H 2 O, number broken optical fibers. Results The URS was used for total 76 hours, 15 minutes (average 95 per procedure). had deteriorated from to 208° last procedure. decreased 133°. O mL/min initially 40 image fibers reached six 50th One repair necessary procedure because laser perforation working channel. Conclusions need occurs less frequently with URSs, especially when they are by an experienced endourologist. In future, improvements durability will still be key widespread use technique limit damage

参考文章(22)
Evangelos N. Liatsikos, Caner Z. Dinlenc, Rakesh Kapoor, Arthur D. Smith, Transitional-Cell Carcinoma of the Renal Pelvis: Ureteroscopic and Percutaneous Approach Journal of Endourology. ,vol. 15, pp. 377- 383 ,(2001) , 10.1089/089277901300189385
DAVID L. GOULD, Holmium:YAG laser and its use in the treatment of urolithiasis: our first 160 cases. Journal of Endourology. ,vol. 12, pp. 23- 26 ,(1998) , 10.1089/END.1998.12.23
Ehab R. Tawfiek, Demetrius H. Bagley, Management of upper urinary tract calculi with ureteroscopic techniques Urology. ,vol. 53, pp. 25- 31 ,(1999) , 10.1016/S0090-4295(98)00462-2
Brian K. Auge, Philipp Dahm, Ning Z. Wu, Glenn M. Preminger, Ureteroscopic management of lower-pole renal calculi: technique of calculus displacement. Journal of Endourology. ,vol. 15, pp. 835- 838 ,(2001) , 10.1089/089277901753205852
Herbert M. User, Vi Hua, Lynn W. Blunt, Chris Wambi, Chris M. Gonzalez, Robert B. Nadler, Performance and Durability of Leading Flexible Ureteroscopes Journal of Endourology. ,vol. 18, pp. 735- 738 ,(2004) , 10.1089/END.2004.18.735
Dean G. Assimos, M. Craig Hall, Jeffrey H. Martin, URETEROSCOPIC MANAGEMENT OF PATIENTS WITH UPPER TRACT TRANSITIONAL CELL CARCINOMA Urologic Clinics of North America. ,vol. 27, pp. 751- 760 ,(2000) , 10.1016/S0094-0143(05)70123-3
JOSE S. AFANE, EPHREM O. OLWENY, EDUARDO BERCOWSKY, CHANDRU P. SUNDARAM, MATTHEW D. DUNN, ARIEH L. SHALHAV, ELSPETH M. McDOUGALL, RALPH V. CLAYMAN, FLEXIBLE URETEROSCOPES: A SINGLE CENTER EVALUATION OF THE DURABILITY AND FUNCTION OF THE NEW ENDOSCOPES SMALLER THAN 9Fr The Journal of Urology. ,vol. 164, pp. 1164- 1168 ,(2000) , 10.1016/S0022-5347(05)67133-9
Charles W. Yowell, Fernando C. Delvecchio, Mark Makhuli, Ravi Munver, Glenn M. Preminger, URETEROSCOPIC MANAGEMENT OF LOWER POLE RENAL CALCULI The Journal of Urology. pp. 370- ,(1999) , 10.1097/00005392-199904020-00484
Osama M. Elashry, Abdelhamid M. Elbahnasy, Ganesh S. Rao, Stephen Y. Nakada, Ralph V. Clayman, Flexible Ureteroscopy: Washington University Experience With the 9.3F and 7.5F Flexible Ureteroscopes The Journal of Urology. ,vol. 157, pp. 2074- 2080 ,(1997) , 10.1016/S0022-5347(01)64677-9