A snapshot into the future of image-guided surgery for renal cancer
Abstract
Robot-assisted partial nephrectomy (RAPN) is certainly one of the most fascinating and complex urological procedures. This is ascribable to its vast heterogeneity from one case to another, related to patient’s anatomical variability and tumour’s characteristics. Over the last years, with the aim to assist the surgeons in handling ever more difficult lesions (totally endophytic or large volume [1,2]) suitable for RAPN, several technologies were proposed and tested, from preoperative planning to intraoperative assistance or navigation [3]. As already published, the recent advent of high definition three-dimensional (3D) models represents the major innovation in the field of image-guided robotic surgery, potentially changing surgeon’s approach to every single renal mass [4]. In fact, notwithstanding the heterogeneity of the steps of 3D models’ production and the lack of standardization of reconstruction process that lead to a faithful reproduction of the anatomy [5], the 3D spatial visualisation of patient’s anatomy can improve theperceptionof lesion’s complexityby the surgeon [6] with a general simplification of the procedure and a subsequentwider attempt to perform a nephron sparing surgery [7], without compromising oncological and functional outcomes [8]. Furthermore, the possibility to intraoperatively overlap 3D virtual images over the real anatomy allows to obtain an augmented reality (AR)-guided surgery, of which safety, feasibility, and accuracy have already been…
Read the paper
Related studies
- Learning from First-Generation Qualitative Approaches in the IS Discipline: An Evolutionary View and Some Implications for Authors and Evaluators (PART 1/2)
- Commentary on the clinical and preclinical dosage limits of interstitially administered magnetic fluids for therapeutic hyperthermia based on current practice and efficacy models
- Prosthesis: New Technological Opportunities and Innovative Biomedical Devices
- The history and future of neural modeling for cochlear implants
- Ryanodine receptors: waking up from refractoriness
- Novel Transgenic Rabbit Model Sheds Light on the Puzzling Role of Matrix Metalloproteinase-12 in Atherosclerosis
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.