Robot-assisted surgeries at the Urology Clinic

For the first time in Hungary, robot-assisted nephrolithotomy (kidney stone removal) has been performed at the Urology Clinic of the University of Debrecen Clinical Center. In recent days, the university's specialists have performed six successful operations using the French-developed ILY robot-controlled ureterorenoscopy. Using robot-assisted technology, surgery can be performed precisely and safely even in more difficult and complicated cases.

In recent years, a large number of flexible ureteroscopies have been carried out at the Urology Clinic of the University of Debrecen Clinical Center. In this procedure a special, thin endoscope is inserted through the urethra and bladder, to approach the stones in the renal pelvis and calyces. During the operation, the smaller stones are removed, and the larger ones are pulverized with a laser, so they are excreted from the patient's body with urine.

Many years of practice has enabled the specialists of the Urology Clinic to work precisely with the robot-assisted technique, too. Demonstration surgeries with the French-developed ILY robot were performed at the clinic for the first time in Hungary. In the first days of October, six robot-assisted flexible ureterorenoscopy kidney stone removals were performed.

- In non-robot-assisted surgeries, the surgeon holds and controls the equipment, but this task is entirely replaced by the robot. The doctor performing the operation does not have to hold the endoscopic device, only to control the movement of the robot, so the specialist does not get tired during longer operations and can concentrate better. The device made available to us by the French by the French company, which is compatible with all of the currently used flexible ureterorenoscopes, enables precise and safe intervention, the operation can be performed safely even in more complicated cases - explained Gyula Drabik, who performed the operations.

The specialist of the Urology Clinic of the Clinical Center of the University of Debrecen added: among the six surgeries performed in recent days, there was a more complicated case when a stone in the horseshoe kidney, a generally hard-to-reach place, had to be removed. However, using the robot, it was possible to accurately reach and break the stone in a stable manner. For the interventions, the Clinic also received high-frequency laser equipment from the Olympus Company, which can make breading the kidney stones extremely fast.

- The technical and technological development of the last decade has provided previously unimaginable possibilities for the surgeon. In the present case, a 3-mm-thick device was introduced through a natural body opening from the urethral opening to the renal pelvis to crush the kidney stones with. The precise movement of this finely structured instrument was made possible by the robot we used, which was controlled by the doctor - emphasized Tibor Flaskó, director of the Urology Clinic of the Clinical Center, University of Debrecen.

The surgeries performed at the Urology Clinic, carried out in Hungary only, were successful. The patients did not develop any complications and were able to go home the day after the procedure. The specialists emphasized: the successful work is due to the prepared and cohesive team performing the operations, the operating room assistants, the medical assistant, the anesthetist and the anesthesiology assistants in addition to the surgeon.

Press Office – CzA