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

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Abstract

Context

The development of a tailored, patient-specific medical and surgical approach is becoming object of intense research. In kidney oncologic surgery, where a clear understanding of case-specific surgical anatomy is considered a key point to optimize the perioperative outcomes, such philosophy gained increasing importance. Recently, important advances in 3D virtual modeling technologies have fueled the interest for their application in the field of robotic minimally invasive surgery for kidney tumors.

Objective

To provide a synthesis of current applications of 3D virtual models for robot-assisted partial nephrectomy.

Evidence acquisition

Medline, PubMed, the Cochrane Database, and Embase were screened for Literature regarding the use of 3D virtual models for robot-assisted partial nephrectomy (RAPN).

Evidence synthesis

The use of 3D virtual models for RAPN has been tested in different settings, including surgical indication and planning, intraoperative guidance, and training. Currently, several studies are available on the application of this technology for surgical planning, demonstrating impact on clinical outcomes such as renal function recovery, whilst experiences concerning their intraoperative application for navigation are still experimental. One of the latest innovations in this field is represented by the development of dedicated softwares able to automatically overlap the 3D virtual models to the real anatomy, to perform augmented reality procedures.

Conclusions

The available Literature suggests a potentially crucial role of 3D virtual reconstructions during RAPN. Encouraging results concerning surgical planning and indication, intraoperative navigation, and surgical training are available. In the future, artificial intelligence may represent the key to further improve the 3D virtual modeling technology during RAPN.

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Author information

Author notes

  1. Enrico Checcucci and Francesco Porpiglia have contributed equally to senior authorship.

Authors and Affiliations

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

    Daniele Amparore, Federico Piramide, Sabrina De Cillis, Paolo Verri, Alberto Piana, Angela Pecoraro, Mariano Burgio, Matteo Manfredi, Cristian Fiori & Francesco Porpiglia

  2. Renal Cancer Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands

    Daniele Amparore, Angela Pecoraro, Umberto Carbonara, Michele Marchioni & Riccardo Campi

  3. Department of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy

    Enrico Checcucci

  4. Uro-Technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands

    Enrico Checcucci

  5. Andrology and Kidney Transplantation Unit, Department of Emergency and Organ Transplantation-Urology, University of Bari, Bari, Italy

    Umberto Carbonara

  6. Department of Urology, SS Annunziata Hospital, “G. D’Annunzio” University of Chieti, Chieti, Italy

    Michele Marchioni

  7. Department of Urology, Careggi Hospital, University of Florence, Florence, Italy

    Riccardo Campi

Authors
  1. Daniele Amparore
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  2. Federico Piramide
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  3. Sabrina De Cillis
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  4. Paolo Verri
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  5. Alberto Piana
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  7. Mariano Burgio
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  8. Matteo Manfredi
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  9. Umberto Carbonara
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  10. Michele Marchioni
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  11. Riccardo Campi
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  12. Cristian Fiori
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  13. Enrico Checcucci
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  14. Francesco Porpiglia
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Consortia

Renal Cancer Working Group of the Young Academic Urologists (YAU) and European Association of Urology (EAU)

Contributions

Protocol/project development: DA and EC. Data collection or management: DA, SDC, PV, AP, and MB. Data analysis: SDC, PV, FP, UC, MM, and RC. Manuscript writing/editing: DA, FP, SDC, and PV. Supervision: CF, MM, and FP.

Corresponding author

Correspondence to Francesco Porpiglia.

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Amparore, D., Piramide, F., De Cillis, S. et al. Robotic partial nephrectomy in 3D virtual reconstructions era: is the paradigm changed?. World J Urol 40, 659–670 (2022). https://doi.org/10.1007/s00345-022-03964-x

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  • DOI: https://doi.org/10.1007/s00345-022-03964-x

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