Evaluation of Performance Parameters of the Disposable Flexible Ureterorenoscope (LITHOVUE) in Patients with Renal Stones: A Prospective, Observational, Single-arm, Multicenter Study
We investigated performance parameters of disposable flexible ureterorenoscopy (LITHOVUE) in patients with renal stones in a prospective, multicenter, observational study. Sixty two patients who underwent ureterorenoscopic surgery by LITHOVUE were included. Surgeons using a numerical scale, evaluate...
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| Veröffentlicht in: | Scientific reports 2018-06, Vol.8 (1), p.9795-6, Article 9795 |
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| description | We investigated performance parameters of disposable flexible ureterorenoscopy (LITHOVUE) in patients with renal stones in a prospective, multicenter, observational study. Sixty two patients who underwent ureterorenoscopic surgery by LITHOVUE were included. Surgeons using a numerical scale, evaluated the maneuverability of the scopes and general perceptions of visibility related to the monitor and irrigation systems. General pain and fatigue scores were evaluated and compared to existing scopes. Mean patient age was 57.3 years and stone size was 15.4 mm. Clinical success of overall stone removal was 82.3%. Complications occurred in 4 cases of the Clavien classification grade I in a single case and II in 3 cases. Comparative parameters of maneuverability, perception of the monitor system and perception of the irrigation channel were 2.5, 2.5, and 3.0, respectively. The most favorable evaluation of physical strain was about ‘shoulder fatigue’ and ‘hand fatigue’. Unfavorable evaluations were recorded for ‘wrist stiffness’ and ‘thumb fatigue’. Maximal deflection angles of 270° were preserved in 53 cases (85.5%). No pre-stenting procedure and the longer operative time were significant predictors of poorly-preserved deflection angles |
| doi_str_mv | 10.1038/s41598-018-28247-7 |
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Sixty two patients who underwent ureterorenoscopic surgery by LITHOVUE were included. Surgeons using a numerical scale, evaluated the maneuverability of the scopes and general perceptions of visibility related to the monitor and irrigation systems. General pain and fatigue scores were evaluated and compared to existing scopes. Mean patient age was 57.3 years and stone size was 15.4 mm. Clinical success of overall stone removal was 82.3%. Complications occurred in 4 cases of the Clavien classification grade I in a single case and II in 3 cases. Comparative parameters of maneuverability, perception of the monitor system and perception of the irrigation channel were 2.5, 2.5, and 3.0, respectively. The most favorable evaluation of physical strain was about ‘shoulder fatigue’ and ‘hand fatigue’. Unfavorable evaluations were recorded for ‘wrist stiffness’ and ‘thumb fatigue’. Maximal deflection angles of 270° were preserved in 53 cases (85.5%). No pre-stenting procedure and the longer operative time were significant predictors of poorly-preserved deflection angles <270°. LITHOVUE showed good maneuverability and perception scores for the monitor and irrigation systems. LITHOVUE received favorable evaluations on pain and fatigue scores.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-018-28247-7</identifier><identifier>PMID: 29955083</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/409 ; 692/4025/1861 ; Calculi ; Catheters ; Deflection ; Fatigue ; Hospitals ; Humanities and Social Sciences ; Irrigation systems ; Lavage ; Lithiasis ; Medicine ; multidisciplinary ; Observational studies ; Pain ; Patients ; Perception ; Perceptions ; Performance evaluation ; Science ; Science (multidisciplinary) ; Success ; Surgery ; Urology ; Wrist</subject><ispartof>Scientific reports, 2018-06, Vol.8 (1), p.9795-6, Article 9795</ispartof><rights>The Author(s) 2018</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Sixty two patients who underwent ureterorenoscopic surgery by LITHOVUE were included. Surgeons using a numerical scale, evaluated the maneuverability of the scopes and general perceptions of visibility related to the monitor and irrigation systems. General pain and fatigue scores were evaluated and compared to existing scopes. Mean patient age was 57.3 years and stone size was 15.4 mm. Clinical success of overall stone removal was 82.3%. Complications occurred in 4 cases of the Clavien classification grade I in a single case and II in 3 cases. Comparative parameters of maneuverability, perception of the monitor system and perception of the irrigation channel were 2.5, 2.5, and 3.0, respectively. The most favorable evaluation of physical strain was about ‘shoulder fatigue’ and ‘hand fatigue’. Unfavorable evaluations were recorded for ‘wrist stiffness’ and ‘thumb fatigue’. Maximal deflection angles of 270° were preserved in 53 cases (85.5%). No pre-stenting procedure and the longer operative time were significant predictors of poorly-preserved deflection angles <270°. LITHOVUE showed good maneuverability and perception scores for the monitor and irrigation systems. LITHOVUE received favorable evaluations on pain and fatigue scores.</description><subject>692/308/409</subject><subject>692/4025/1861</subject><subject>Calculi</subject><subject>Catheters</subject><subject>Deflection</subject><subject>Fatigue</subject><subject>Hospitals</subject><subject>Humanities and Social Sciences</subject><subject>Irrigation systems</subject><subject>Lavage</subject><subject>Lithiasis</subject><subject>Medicine</subject><subject>multidisciplinary</subject><subject>Observational studies</subject><subject>Pain</subject><subject>Patients</subject><subject>Perception</subject><subject>Perceptions</subject><subject>Performance evaluation</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Success</subject><subject>Surgery</subject><subject>Urology</subject><subject>Wrist</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp9UstuEzEUHSEQrUp_gAWyxKZIGfBjniyQqpLSSkGJaMPW8njuJK48drA9gf5Yv6-epJTCAm98pXPuucfXJ0leE_yeYFZ98BnJ6yrFpEppRbMyLZ8lhxRneUoZpc-f1AfJsfc3OJ6c1hmpXyYHtK7zHFfsMLmbboUeRFDWINuhBbjOul4YCWghnOghgPMjEtaAPiu_sV40GtC5hl9qLJZupFgHxnppN4BOZpfXF_Pvy-k7pEwUCQpM8OinCmv0DYzQ6CpYA_4jOkULZ_0GZFBbmKB548Ftd1aEnqArZVYaUuH6Cfo66KBk1AEXu4f29lXyohPaw_HDfZQsz6fXZxfpbP7l8ux0lsqc0pCSmuFWkEoWgGkFDci8KaCgpMy7ssWi6giledW1XVk0ERO0lTRrS8wEAwmUHSWf9rqboemhHS04ofnGqV64W26F4n8jRq35ym55gSmrSR4FTh4EnP0xgA-8V16C1sKAHTynuKAVI1k5znr7D_XGDi7uYsciLP4yJpFF9ywZd-cddI9mCOZjMvg-GTwmg--SwcvY9ObpMx5bfucgEtie4CNkVuD-zP6P7D2kU8ev</recordid><startdate>20180628</startdate><enddate>20180628</enddate><creator>Cho, Sung Yong</creator><creator>Lee, Joo Yong</creator><creator>Shin, Dong Gil</creator><creator>Seo, Ill Young</creator><creator>Yoo, Sangjun</creator><creator>Park, Hyung Keun</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3470-1767</orcidid></search><sort><creationdate>20180628</creationdate><title>Evaluation of Performance Parameters of the Disposable Flexible Ureterorenoscope (LITHOVUE) in Patients with Renal Stones: A Prospective, Observational, Single-arm, Multicenter Study</title><author>Cho, Sung Yong ; Lee, Joo Yong ; Shin, Dong Gil ; Seo, Ill Young ; Yoo, Sangjun ; Park, Hyung Keun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c522t-1930da18c6e028ebec5b6e62175f7d0a8f12258fdf76bc5ba2dc24d703a3ece23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>692/308/409</topic><topic>692/4025/1861</topic><topic>Calculi</topic><topic>Catheters</topic><topic>Deflection</topic><topic>Fatigue</topic><topic>Hospitals</topic><topic>Humanities and Social Sciences</topic><topic>Irrigation systems</topic><topic>Lavage</topic><topic>Lithiasis</topic><topic>Medicine</topic><topic>multidisciplinary</topic><topic>Observational studies</topic><topic>Pain</topic><topic>Patients</topic><topic>Perception</topic><topic>Perceptions</topic><topic>Performance evaluation</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Success</topic><topic>Surgery</topic><topic>Urology</topic><topic>Wrist</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Sung Yong</creatorcontrib><creatorcontrib>Lee, Joo Yong</creatorcontrib><creatorcontrib>Shin, Dong Gil</creatorcontrib><creatorcontrib>Seo, Ill Young</creatorcontrib><creatorcontrib>Yoo, Sangjun</creatorcontrib><creatorcontrib>Park, Hyung Keun</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Sung Yong</au><au>Lee, Joo Yong</au><au>Shin, Dong Gil</au><au>Seo, Ill Young</au><au>Yoo, Sangjun</au><au>Park, Hyung Keun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Performance Parameters of the Disposable Flexible Ureterorenoscope (LITHOVUE) in Patients with Renal Stones: A Prospective, Observational, Single-arm, Multicenter Study</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2018-06-28</date><risdate>2018</risdate><volume>8</volume><issue>1</issue><spage>9795</spage><epage>6</epage><pages>9795-6</pages><artnum>9795</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>We investigated performance parameters of disposable flexible ureterorenoscopy (LITHOVUE) in patients with renal stones in a prospective, multicenter, observational study. Sixty two patients who underwent ureterorenoscopic surgery by LITHOVUE were included. Surgeons using a numerical scale, evaluated the maneuverability of the scopes and general perceptions of visibility related to the monitor and irrigation systems. General pain and fatigue scores were evaluated and compared to existing scopes. Mean patient age was 57.3 years and stone size was 15.4 mm. Clinical success of overall stone removal was 82.3%. Complications occurred in 4 cases of the Clavien classification grade I in a single case and II in 3 cases. Comparative parameters of maneuverability, perception of the monitor system and perception of the irrigation channel were 2.5, 2.5, and 3.0, respectively. The most favorable evaluation of physical strain was about ‘shoulder fatigue’ and ‘hand fatigue’. Unfavorable evaluations were recorded for ‘wrist stiffness’ and ‘thumb fatigue’. Maximal deflection angles of 270° were preserved in 53 cases (85.5%). No pre-stenting procedure and the longer operative time were significant predictors of poorly-preserved deflection angles <270°. LITHOVUE showed good maneuverability and perception scores for the monitor and irrigation systems. LITHOVUE received favorable evaluations on pain and fatigue scores.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>29955083</pmid><doi>10.1038/s41598-018-28247-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3470-1767</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 692/308/409 692/4025/1861 Calculi Catheters Deflection Fatigue Hospitals Humanities and Social Sciences Irrigation systems Lavage Lithiasis Medicine multidisciplinary Observational studies Pain Patients Perception Perceptions Performance evaluation Science Science (multidisciplinary) Success Surgery Urology Wrist |
| title | Evaluation of Performance Parameters of the Disposable Flexible Ureterorenoscope (LITHOVUE) in Patients with Renal Stones: A Prospective, Observational, Single-arm, Multicenter Study |
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