Robot-assisted partial nephrectomy with 3D preoperative surgical planning: Video presentation of the florentine experience

Grosso, Antonio Andrea; Maida, Fabrizio Di; Tellini, Riccardo; Mari, Arnaud; Sforza, Simone; Campi, Riccardo; Valastro, Francesca; Lambertini, Luca; Polverino, Paolo; Verrienti, P.; Presutti, M.; Masieri, Lorenzo; Carini, Marco; Minervini, Andrea

doi:10.1016/s0302-2838(21)01621-3

Cited by 2 publications

(3 citation statements)

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“…In recent years, the development of robotic surgery has made renal preservation safe and feasible in increasingly challenging cases (10). Moskowitz et al reported high efficacy, better oncologic outcome, greater overall and cardiovascular survival rate among patients with small renal masses (T1a) when submitted to nephron-sparing surgery (16).…”

Section: Discussionmentioning

confidence: 99%

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Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results

et al. 2022

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Objectives: The aim of this study was to evaluate whether criteria exist to guide election between the use the three-or four-arm technique in robotic partial nephrectomy (RPN) instead of just the surgeon's preference. Material and Methods: We performed a retrospective review of 80 patients submitted to RPN from May 2016 to February 2020. The patients were divided into two groups of 40, the fi rst submitted to the surgical procedure with use of three robotic arms and the second with four arms. The group division was performed independently of the complexity of the cases, age or gender of the patients and laterality of the renal lesions. Peri-and postoperative data were analyzed for comparison between the two groups. Results: Both techniques had similar oncological outcomes (positive tumor margins), renal function preservation (warm ischemia time) and hemorrhagic complications (estimated blood loss and renal artery pseudoaneurysm), with a small difference in the need for blood transfusion, favoring the technique with three arms. Conclusions: The two robotic partial nephrectomy techniques had similar oncological and postoperative outcomes, with minimal perioperative complications. The threearm technique is safe and feasible regardless of the complexity and size of the tumor. Additionally, the use of the three-arm technique reduced surgery costs by US$ 413.00 per patient.

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Section: Discussionmentioning

confidence: 99%

“…The evolution of robotic surgical techniques has improved peri-and postoperative results of nephron-sparing surgery, such as reduction of warm ischemia time (9,10), lesser conversion into open or radical surgery (11), less severe postoperative complications (12) and better postoperative renal function (11).…”

Section: Introductionmentioning

confidence: 99%

Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results

et al. 2022

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“…Although the search speed was accelerated, fewer variables were controlled making the risk map imperfect; Caprara 13 optimized the trajectory and size of the screw used for pedicle screw fixation using a genetic algorithm, but the limited restrictions on the access area led to imperfect optimization. Since preoperative planning is a complex problem that requires consideration of multiple constraints 14 : including endpoint accuracy and collision interference safety, Konietschke 15 proposed to optimise the preoperative pose of the robotic arm using a multi‐objective optimization approach, where the reachability and collision rate is objective functions for the MiroSurge robot and derive the optimal solution; Wang Wei 16 et al. used the dexterity as well as the collaboration space index as the objective function and used the NSGA‐ II algorithm for optimization and compared it with the preoperative planning obtained from the surgical experience to verify the feasibility of the optimization algorithm, but did not verify the effect of the change in the end position of the robotic arm on the joints of the robotic arm during the operation.…”

Section: Introductionmentioning

confidence: 99%

Preoperative positioning planning for a robot‐assisted minimally invasive surgical system based on accuracy and safety

Yue

et al. 2022

Robotics Computer Surgery

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Background: Minimally invasive robot-assisted techniques are being used increasingly in surgical procedures, and the preoperative preparation for this kind of operation is more complicated than traditional operations. Method:Taking the placement requirements of minimally invasive thyroid surgery as the research object, taking the kinematic performance and safety of the manipulator as the optimization goal, a set of indexes and pendulums for evaluating the accuracy and safety of the manipulators are proposed accordingly. Results:The optimal preoperative positioning scheme is obtained based on Non dominated sorting genetic algorithm-II multi-objective genetic algorithm. Meanwhile, compared with the optimization results of Gaot genetics and the positional scheme given by the surgeon based on experience, the advantages of the scheme are proved to be obvious. Conclusion:The scheme showed good performance in the comparison and proved the feasibility of the positional scheme in preoperative planning.

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Robot-assisted partial nephrectomy with 3D preoperative surgical planning: Video presentation of the florentine experience

Cited by 2 publications

References 0 publications

Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results

Analysis of surgical and histopathological results of robot-assisted partial nephrectomy with use of three or four robotic arms: an early series results

Preoperative positioning planning for a robot‐assisted minimally invasive surgical system based on accuracy and safety

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