New imaging technologies for robotic kidney cancer surgery

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 manag...

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Bibliographic Details
Main Authors: Stefano Puliatti, Ahmed Eissa, Enrico Checcucci, Pietro Piazza, Marco Amato, Stefania Ferretti, Simone Scarcella, Juan Gomez Rivas, Mark Taratkin, Josè Marenco, Ines Belenchon Rivero, Karl-Friedrich Kowalewski, Giovanni Cacciamani, Ahmed El-Sherbiny, Ahmed Zoeir, Abdelhamid M. El-Bahnasy, Ruben De Groote, Alexandre Mottrie, Salvatore Micali
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Asian Journal of Urology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214388222000376
Description
Summary: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.
ISSN:2214-3882