Three-dimensional visualization techniques improve surgical Decision Making of robotic-assisted partial nephrectomy

Autor: Yuchao Wang, Qiliang Teng, Zhihong Dai, Chunyu Chen, Liren Zhang, Jiaxin Xie, Hao Wang, Zihan Xin, Sishan Chen, Yu Tai, Liang Wang, Bo Fan, Zhiyu Liu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Heliyon, Vol 10, Iss 21, Pp e38806- (2024)
Druh dokumentu: article
ISSN: 2405-8440
DOI: 10.1016/j.heliyon.2024.e38806
Popis: Background: Complete preoperative comprehension of the adjacent structures of the kidney and location of renal vessels is essential for robot-assisted partial nephrectomy (RAPN). The effectiveness of three-dimensional (3D) visualization techniques in improving perioperative outcomes of RAPN has been inconsistent and has not been reported in Northeastern China. Methods: In this cohort study, we reviewed patients with renal tumours who underwent RAPN between April 2019 and April 2024. Three-dimensional visualization models were reconstructed to evaluate resectability parameters, including vascular variations, collection system infiltration, and lymphatic involvement. Subsequently, a meta-analysis combining previous studies utilising 3D visualization techniques for partial nephrectomy was conducted. Results: Of the 324 patients in the cohort, 147 were preoperatively evaluated using the 3D technology. Group 3D had significantly less estimated blood loss (P
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