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Three-dimensional visualization techniques improve surgical Decision Making of robotic-assisted partial nephrectomy.
Yuchao Wang1,2,3,4, Qiliang Teng5, Zhihong Dai1,2,3,4
1Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China.
Heliyon
|November 11, 2024
Summary
Three-dimensional (3D) visualization significantly improves robot-assisted partial nephrectomy (RAPN) outcomes by reducing blood loss, operative time, and complications. This technology enhances precise tumor removal and patient safety in complex kidney surgeries.
Area of Science:
- Urology
- Surgical Technology
- Medical Imaging
Background:
- Robot-assisted partial nephrectomy (RAPN) requires precise understanding of renal anatomy.
- Effectiveness of 3D visualization in RAPN outcomes is inconsistent and underreported in Northeastern China.
Purpose of the Study:
- To evaluate the impact of 3D visualization on perioperative outcomes in RAPN.
- To assess the utility of 3D models for evaluating resectability in renal tumors.
Main Methods:
- Cohort study of 324 patients undergoing RAPN (April 2019-April 2024).
- Preoperative 3D model reconstruction for 147 patients to assess vascular variations, collection system, and lymphatic involvement.
- Meta-analysis of 11 studies (1522 patients) on 3D visualization in partial nephrectomy.
Main Results:
- 3D group showed significantly less blood loss, shorter operative time, and fewer intraoperative/postoperative complications compared to the non-3D group.
- Meta-analysis revealed 3D visualization reduced the risk of collecting system opening (55%), conversion to radical nephrectomy (79%), and blood transfusion (81%).
- Findings were consistent in complex cases (R.E.N.A.L. score ≥ 8).
Conclusions:
- 3D technology enhances precision in tumor removal during RAPN.
- 3D visualization significantly improves perioperative outcomes and patient safety.
- Widespread clinical adoption of 3D technology in RAPN is recommended.
