Sung Yong Cho, MD, PhD, presented “Recent Development of RIRS in Robotic Platforms” for the Grand Rounds in Urology audience in December 2022.

How to cite: Cho, Sung Yong. “Recent Development of RIRS in Robotic Platforms” December 2022. Accessed May 2024.

Recent Development of RIRS in Robotic Platforms – Summary

Sung Yong Cho, MD, PhD, Clinical Full Professor of Urology at Seoul National University Hospital in Seoul, South Korea, discusses advances in robotic platforms for retrograde intrarenal surgery (RIRS). Dr. Cho first compares the progression in treatment of urolithiasis, or kidney stone disease. He then describes the difficulties with conventional RIR using flexible ureteroscopy (fURS) including mucosal damage to the patient, physical strain on the surgeon, challenges in surgical techniques, and limitations of available surgical devices, and shares his approach to mediating these complications with technique and technology. Dr. Cho offers a flow chart for planning surgery and advises clinicians to use a systematized navigation approach to the kidney moving from the lower calyx to the upper calyx. He also compares basketing with dusting techniques and the variation between Holmium and Thulium lasers. Dr. Cho then discusses robotic-assisted RIRS which offer an automated ergonomic console and compares several robotic RIR systems. Unlike conventional RIR, robotic-assisted RIR is affected only by patient respiration and irrigation. After his presentation, Dr. Cho engages in a Q&A with Peter K.F. Chiu, MD, PhD, FRCSEd, Associate Professor of Urology at the S.H. Ho Urology Centre of the Chinese University of Hong Kong. They discuss laser preference and the advantages of robotic platforms in particular when treating large stones.

For more commentary on practice management from Dr. Cho, visit his faculty page.