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Initial experience with robot-assisted ureteroscopy with Ily® Robot.

Cristian Fiori1,2, Marco Cossu3, Massimiliano Poggio3

  • 1Department of Oncology, University of Turin, Turin, Italy - cristian.fiori@unito.it.

Minerva Urology and Nephrology
|December 21, 2023
PubMed
Summary

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Endoscopic Kidney-sparing Surgery for Upper Tract Urothelial Carcinoma: Long-term Oncological and Functional Outcomes from a Large Single-center Cohort.

European urology oncology·2026
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Redefining clinical success in minimally invasive surgery for BPH: A composite endpoint integrating ejaculatory function, urinary improvement, and safety metrics.

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Delphi consensus on ex vivo fluorescence confocal microscopy in robot-assisted radical prostatectomy.

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Pre-laser intraoperative urine culture provides key microbiological information for postoperative infectious management after flexible ureteroscopy for renal stone disease: a prospective single-surgeon study.

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This summary is machine-generated.

This study introduces robotic-assisted retrograde intrarenal surgery (rRIRS) in Italy using the Ily® platform for kidney stones. The innovative system demonstrated 100% stone-free rates and high surgeon satisfaction, proving safe and effective.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robotic-assisted retrograde intrarenal surgery (rRIRS) offers potential advancements in treating kidney stones.
  • The Ily® platform represents a novel robotic system for endoscopic procedures.
  • Evaluating new technologies is crucial for improving surgical outcomes and ergonomics.

Purpose of the Study:

  • To report the initial Italian experience with the Ily® robotic platform for rRIRS.
  • To assess the feasibility, safety, and effectiveness of this new technology in managing renal calculi.
  • To evaluate surgeon satisfaction with the ergonomic aspects of the robotic system.

Main Methods:

  • Consecutive patients undergoing rRIRS for renal stones using the Ily® Robot were enrolled.

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  • Perioperative data, including operative time and docking time, were collected.
  • One-month stone-free rates (SFR) were assessed via ultrasound, and surgeon satisfaction was measured using a questionnaire.

    • Main Results:

    • The mean stone size was 13 mm, with an average operative time of 70 minutes and docking time of 3 minutes.
    • A 100% stone-free rate was achieved at one month post-procedure.
    • Surgeons reported high satisfaction scores, particularly for ergonomics (5/5) and stability (5/5).

    Conclusions:

    • Robotic-assisted retrograde intrarenal surgery with the Ily® platform is feasible, safe, and effective for renal stone treatment.
    • The system's ergonomic design significantly enhances the surgical experience for endoscopists.
    • Further cost-effectiveness analyses are warranted, but rRIRS shows promise for sustainable urological practice.