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Robotic partial nephrectomy in 3D virtual reconstructions era: is the paradigm changed?

Daniele Amparore1,2, Federico Piramide1, Sabrina De Cillis1

  • 1Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Regione Gonzole 10, 10043, Orbassano (Turin), Italy.

World Journal of Urology
|February 22, 2022
PubMed
Summary

3D virtual models enhance robot-assisted partial nephrectomy (RAPN) by improving surgical planning and patient outcomes. Future advancements, including artificial intelligence, promise further integration and benefits in kidney cancer surgery.

Keywords:
Augmented realityKidney cancerRoboticsThree-dimensional

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Area of Science:

  • Urology
  • Surgical Oncology
  • Medical Imaging
  • Robotic Surgery

Background:

  • Patient-specific approaches are increasingly vital in kidney cancer surgery for optimizing outcomes.
  • 3D virtual modeling technologies are gaining traction for application in robotic minimally invasive kidney tumor surgery.
  • Understanding patient-specific anatomy is critical for successful perioperative results in kidney oncologic surgery.

Purpose of the Study:

  • To synthesize current applications of 3D virtual models in robot-assisted partial nephrectomy (RAPN).
  • To review the role of 3D virtual models in enhancing surgical planning and outcomes for kidney tumors.

Main Methods:

  • Literature search conducted across Medline, PubMed, Cochrane Database, and Embase.
  • Screening focused on studies utilizing 3D virtual models for robot-assisted partial nephrectomy (RAPN).
  • Synthesis of findings related to surgical indication, planning, intraoperative guidance, and training.

Main Results:

  • 3D virtual models have been applied in RAPN for surgical planning, indication, and training.
  • Studies show positive impacts of 3D virtual models on clinical outcomes, particularly renal function recovery.
  • Intraoperative navigation using 3D models is still experimental, with emerging augmented reality applications.

Conclusions:

  • 3D virtual reconstructions show significant potential in enhancing robot-assisted partial nephrectomy (RAPN).
  • Encouraging results exist for surgical planning, indication, intraoperative navigation, and training.
  • Artificial intelligence is poised to further advance 3D virtual modeling in RAPN.