Location:Room Paris (Hall B2, level 0)
‘Expert challenges expert’ is always an attractive session with very practical tips or tricks. James Porter will present and discuss the real use of Firefly during a robotic partial nephrectomy and will be challenged by Jens-Uwe Stolzenburg. Then Andras Hoznek will try to convince us that ultraminiPERC is the future for stone disease surgery and will be challenged by Cesare Scoffone.
The miniaturization of PNL is currently regarded as the cutting edge of endourology, being considered very trendy. MicroPerc, UMP, MIP,mini PNL can be very effective and saf eapproaches, but ausual the value of a technique is not intrinsic but highlighted by its correct clinical application. The limits of the miniaturized approaches should be kept in mind (don’t carry the problems of RIRS into PNL!), and endourolologists should look at them as further but not unique tools in their armamentarium. Tailoring the PNL approach on the single patient/urolithiasis/anatomy of the collecting system is fundamental, and standard PNL should not be set aside as outmoded, being safe and effective especially for the treatment of large/complex urolithiasis.
PN is one of the few fields of laparoscopy where robotic assistance can not only do more easily what conventional laparoscopy does, but creates a totally new field of surgical management of renal tumours. This also includes the use of Firefly. Compared to classical laparoscopy larger and more complicated tumours can be managed, leading to lower WIT and more delicate tumour excision. There are cases of large, central and complex tumours that can be only managed by robotic (also without Firefly) which will be shown by different video clips.