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| New imaging technologies for robotic kidney cancer surgery |
Stefano Puliattia,b,*( ),Ahmed Eissac,Enrico Checcuccid,Pietro Piazzae,Marco Amatoa,Stefania Ferrettia,Simone Scarcellaf,Juan Gomez Rivasg,h,Mark Taratking,Josè Marencog,Ines Belenchon Rivero,Karl-Friedrich Kowalewski,Giovanni Cacciamani,Ahmed El-Sherbinyc,Ahmed Zoeirc,Abdelhamid M. El-Bahnasyc,Ruben De Grooteb,Alexandre Mottrieb,Salvatore Micalia
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aUrology Department, University of Modena & Reggio Emilia, Modena, Italy
bORSI Academy, Melle, Belgium
cUrology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
dDepartment of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy
eDivision of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
fDepartment of Urology, Polytechnic University of Marche Region, Umberto I Hospital “Ospedali Riuniti”, Ancona, Italy
gUro-technology and SoMe Working Group of the Young Academic Urologists Working Party, European Association of Urology, Arnhem, the Netherlands
hDepartment of Urology, Hospital Clinico San Carlos, Madrid, Spain
iInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia
jDepartment of Urology, Fundación Instituto Valenciano de Oncologı´a, Valencia, Spain
kUrology and Nephrology Department, Virgen del Rocı´o University Hospital, Manuel Siurot Sin Numero, Seville, Spain
lDepartment of Urology and Urological Surgery, University Medical Centre Mannheim, Mannheim, Germany
mUSC Institute of Urology, University of Southern California, Los Angeles, CA, USA
nDepartment of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium |
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Abstract Objective: Kidney cancers account for approximately 2% of all newly diagnosed cancer in 2020. Among the primary treatment options for kidney cancer, urologist may choose between radical or partial nephrectomy, or ablative therapies. Nowadays, robotic-assisted partial nephrectomy (RAPN) for the management of renal cancers has gained popularity, up to being considered the gold standard. However, RAPN is a challenging procedure with a steep learning curve.
Methods: In this narrative review, different imaging technologies used to guide and aid RAPN are discussed.
Results: Three-dimensional visualization technology has been extensively discussed in RAPN, showing its value in enhancing robotic-surgery training, patient counseling, surgical planning, and intraoperative guidance. Intraoperative imaging technologies such as intracorporeal ultrasound, near-infrared fluorescent imaging, and intraoperative pathological examination can also be used to improve the outcomes following RAPN. Finally, artificial intelligence may play a role in the field of RAPN soon.
Conclusion: RAPN is a complex surgery; however, many imaging technologies may play an important role in facilitating it.
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Received: 26 November 2021
Available online: 20 July 2022
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Corresponding Authors:
Stefano Puliatti
E-mail: Stefano.puliatti@unimore.it
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