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EnglishThree-dimensional (D) models can be used as addi-tional preoperative tools to improve the understandingof the size, location, depth of a renal mass andvascular anatomy before robot-assisted partial ne-phrectomy (RAPN).During RAPN, the augmented reality (AR) technologywith overlapping of 3D models inside the roboticconsole, can facilitate a fast and accurate anatomicidentification of the renal vasculature and tumoranatomy in a real-time manner.The 3D-guided approach with AR during RAPN allows surgeon to perform selective and super-selectiveclamping in higher proportion of cases comparedwith conventional planning based on 2D imaging.The effective intraoperative management of renal hi-lum guided by AR guidance was performed as pre-operatively planned in 86.7% of patients.Three-D models were more accurate than 2D standardimaging to evaluate the surgical complexity of renal masses according to nephrometry scores.The use of AR for 3D-guided renal surgery is useful to improve the intraoperative knowledge of renal anatomy with higher adoption of selective and super-selective clamping approach and safe surgical outcomes.
| Titolo: | Augmented Reality to Guide Selective Clamping and Tumor Dissection During Robot-assisted Partial Nephrectomy: A Preliminary Experience |
| Autore/i: | Schiavina R.; Bianchi L.; Chessa F.; Barbaresi U.; Cercenelli L.; Lodi S.; Gaudiano C.; Bortolani B.; Angiolini A.; Bianchi F. M.; Ercolino A.; Casablanca C.; Molinaroli E.; Porreca A.; Golfieri R.; Diciotti S.; Marcelli E.; Brunocilla E. |
| Autore/i Unibo: | |
| Anno: | 2020 |
| Rivista: | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.clgc.2020.09.005 |
| Abstract: | Three-dimensional (D) models can be used as addi-tional preoperative tools to improve the understandingof the size, location, depth of a renal mass andvascular anatomy before robot-assisted partial ne-phrectomy (RAPN).During RAPN, the augmented reality (AR) technologywith overlapping of 3D models inside the roboticconsole, can facilitate a fast and accurate anatomicidentification of the renal vasculature and tumoranatomy in a real-time manner.The 3D-guided approach with AR during RAPN allows surgeon to perform selective and super-selectiveclamping in higher proportion of cases comparedwith conventional planning based on 2D imaging.The effective intraoperative management of renal hi-lum guided by AR guidance was performed as pre-operatively planned in 86.7% of patients.Three-D models were more accurate than 2D standardimaging to evaluate the surgical complexity of renal masses according to nephrometry scores.The use of AR for 3D-guided renal surgery is useful to improve the intraoperative knowledge of renal anatomy with higher adoption of selective and super-selective clamping approach and safe surgical outcomes. |
| Data stato definitivo: | 2021-01-07T22:07:17Z |
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