Combination of holographic imaging with robotic partial nephrectomy for renal hilar tumor treatment

Zhang, Kai; Wang, Lei; Ying, Sun; Wang, Wei; Hao, Shuaiying; Li, Hongbo; Lu, Jingjing; O’Reilly, Derek; Na, Yan-qun; Zhu, Gang

doi:10.1007/s11255-022-03228-y

Cited by 9 publications

(10 citation statements)

References 20 publications

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“…Relevant studies have pointed out that PCNL under the guidance of holographic image technology can effectively reduce the incidence of related complications, avoid secondary or even multiple stone clearing operations in the later stage, effectively save medical insurance funds and reduce family economic burden (25). In terms of complications in this study, all patients in group B successfully underwent the operation without any serious complications, such as postoperative bleeding, injury to adjacent organs, or septic shock.…”

Section: Discussionmentioning

confidence: 74%

Effects of PCNL under the guidance of hologram technology on stress response and renal injury factors in patients with complex kidney stones

Liu,

Dong,

Sheng

et al. 2024

J Med Biochemistry

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Background: To investigate the effect of percutaneous nephrolithotomy (PCNL) guided by holographic image technology on stress response and renal injury factors in patients with complex renal calculi. Methods: A retrospective analysis was conducted on the clinical data of 70 patients admitted to our hospital between August 2022 and June 2023 who had complex kidney stones. The patients were divided into two groups, namely, group A and group B, based on whether they received guidance from preoperative holographic imaging technology. Group A consisted of forty patients who underwent PCNL after undergoing renal CT examination prior to surgery, while Group B included thirty patients who underwent PCNL guided by holographic imaging technology. Various indexes, including operative factors, stress response, inflammatory response, renal injury factors, renal function, complication rate, and the rate of achieving complete stone clearance in a single procedure, were compared between the two groups. Results: In group B, the puncture time and operation time of the target calyces were shorter compared to group A, additionally, the intraoperative blood loss in group B was lower than that in group A (P<0.05). 24 h after surgery, group B exhibited higher levels of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) compared to group A, additionally, the level of malondialdehyde (MDA) in group B was lower than that in group A (P<0.05). 24 h after surgery, group B exhibited lower levels of tumor necrosis factor α (TNF-α), interleukin-6 (IL-6), IL-1, and hypersensitive C-reactive protein (hs-CRP) compared to group A (P<0.05). Furthermore, group B showed lower levels of neutrophil gelatinase-associated lipid carrier protein (NGAL), inducible protein-8-like molecule 2 (TIPE2), and β2-microglobulin (β2-MG) than group A at the 7-day mark (P<0.05). 24 h after the operation, There was no statistically significant difference observed in the levels of SCr, BUN, between group A and group Bgroup B(P > 0.05); however, exhibited lower levels of CysC compared to group A (P < 0.05). Additionally, there were no significant differences in postoperative complications between group B and group A (P>0.05). Furthermore, one month after surgery, the one-time stone clearance rate in group B was significantly higher than that in group A (P<0.05). Conclusion: PCNL under the guidance of hologram technology can shorten the time of puncture target calyce and operation, reduce the amount of intraoperative blood loss, effectively reduce the postoperative stress reaction and inflammatory reaction of patients, reduce the level of renal injury factors, improve renal function, and increase the one-time stone clearance rate.

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Section: Discussionmentioning

confidence: 74%

Effects of PCNL under the guidance of hologram technology on stress response and renal injury factors in patients with complex kidney stones

Liu,

Dong,

Sheng

et al. 2024

J Med Biochemistry

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“…Surgeons that perform RAPN greatly desire an augmented reality‐based navigation system 37 . 3DVR images are mostly used for navigation during RAPN surgery, although holograms were used in some studies 38,39 . In da Vinci surgery, it is common to use TilePro to display 3DVR images.…”

Section: Navigation Using 3dvr Imagingmentioning

confidence: 99%

“…During RAPN, renal 3DCT data including for tumors, arteries, veins, and ureters were integrated with endoscopic images by a biomedical engineer and surgeon to achieve 6 DoF 16 . There have been several reports about augmented reality being used to assist surgeons to perform RAPN based on the interactive approach 35,38,48 . Although the degree of human input required ranges from fully manual to semi‐automatic, a manual process that varies in accuracy and time depending on the level of expertise of the operator may adversely affect the quality of augmented reality images.…”

Section: Registration During Navigation Surgerymentioning

confidence: 99%

“…16 There have been several reports about augmented reality being used to assist surgeons to perform RAPN based on the interactive approach. 35,38,48 Although the degree of human input required ranges from fully manual to semi-automatic, a manual process that varies in accuracy and time depending on the level of expertise of the operator may adversely affect the quality of augmented reality images. To counter this, external or internal fiducial markers can be used as landmarks.…”

Section: The Interactive Approachmentioning

confidence: 99%

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Patient‐specific simulations and navigation systems for partial nephrectomy

Makiyama,

Komeya,

Tatenuma

et al. 2023

Int J of Urology

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Partial nephrectomy (PN) is the standard treatment for T1 renal cell carcinoma. PN is affected more by surgical variations and requires greater surgical experience than radical nephrectomy. Patient‐specific simulations and navigation systems may help to reduce the surgical experience required for PN. Recent advances in three‐dimensional (3D) virtual reality (VR) imaging and 3D printing technology have allowed accurate patient‐specific simulations and navigation systems. We reviewed previous studies about patient‐specific simulations and navigation systems for PN. Recently, image reconstruction technology has developed, and commercial software that converts two‐dimensional images into 3D images has become available. Many urologists are now able to view 3DVR images when preparing for PN. Surgical simulations based on 3DVR images can change surgical plans and improve surgical outcomes, and are useful during patient consultations. Patient‐specific simulators that are capable of simulating surgical procedures, the gold‐standard form of patient‐specific simulations, have also been reported. Besides VR, 3D printing is also useful for understanding patient‐specific information. Some studies have reported simulation and navigation systems for PN based on solid 3D models. Patient‐specific simulations are a form of preoperative preparation, whereas patient‐specific navigation is used intraoperatively. Navigation‐assisted PN procedures using 3DVR images have become increasingly common, especially in robotic surgery. Some studies found that these systems produced improvements in surgical outcomes. Once its accuracy has been confirmed, it is hoped that this technology will spread further and become more generalized.

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“…Since the first RAPN was performed by Gettman et al in 2002 [ 7 ], this technique has evolved to be able to treat patients with T2 tumors or complex masses, due to the development of vascular reconstruction using 3D technology [ 8 ] for preoperative planning and surgical simulation [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Robotic versus Laparoscopic Partial Nephrectomy in the New Era: Systematic Review

Guerrero

Claro

Cepero

et al. 2023

Cancers

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(1) Background: In recent years there have been advances in imaging techniques, in addition to progress in the surgery of renal tumors directed towards minimally invasive techniques. Thus, nephron-sparing surgery has become the gold standard for the treatment of T1 renal masses. The aim of this study is to investigate the benefits of robotic partial nephrectomy in comparison with laparoscopic nephrectomy. (2) Methods: We performed a systematic review according to the PRISMA criteria during September 2022. We included clinical trials, and cohort and case-control studies published between 2000 and 2022. This comprised studies performed in adult patients with T1 renal cancer and studies comparing robotic with open and laparoscopic partial nephrectomy. A risk of bias assessment was performed according to the Newcastle—Ottawa scale. (3) Results: We observed lower hot ischemia times in the robotic surgery groups, although at the cost of an increase in total operative time, without appreciating the differences in terms of serious surgical complications (Clavien III–V). (4) Conclusions: Robotic partial nephrectomy is a safe procedure, with a shorter learning curve than laparoscopic surgery and with all the benefits of minimally invasive surgery.

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Combination of holographic imaging with robotic partial nephrectomy for renal hilar tumor treatment

Cited by 9 publications

References 20 publications

Effects of PCNL under the guidance of hologram technology on stress response and renal injury factors in patients with complex kidney stones

Effects of PCNL under the guidance of hologram technology on stress response and renal injury factors in patients with complex kidney stones

Patient‐specific simulations and navigation systems for partial nephrectomy

Robotic versus Laparoscopic Partial Nephrectomy in the New Era: Systematic Review

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