Three-Dimensional Virtual Models in Robot Assisted Partial Nephrectomy: A Needed Tool in the Era of Precision Surgery.

IF 2.9 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2025-08-08 DOI:10.1007/s11934-025-01288-y

Vital Hevia, Esther García-Rojo, Ricardo Brime-Menéndez, José Miguel Pérez-Ruiz, Ghali Belkahia, Nahuel Paesano, Facundo Barrientos, Gemma Duque-Ruiz, Fernando Lista-Mateos, Juan Justo-Quintas, Javier Romero-Otero

{"title":"Three-Dimensional Virtual Models in Robot Assisted Partial Nephrectomy: A Needed Tool in the Era of Precision Surgery.","authors":"Vital Hevia, Esther García-Rojo, Ricardo Brime-Menéndez, José Miguel Pérez-Ruiz, Ghali Belkahia, Nahuel Paesano, Facundo Barrientos, Gemma Duque-Ruiz, Fernando Lista-Mateos, Juan Justo-Quintas, Javier Romero-Otero","doi":"10.1007/s11934-025-01288-y","DOIUrl":null,"url":null,"abstract":"Purpose of review: Robot-assisted partial nephrectomy (RAPN) has become the gold standard for treating localized renal cell carcinoma (RCC) in high-volume centres. However, increasing tumor complexity demands refined preoperative planning tools. This review summarizes current evidence regarding the use of three-dimensional virtual models (3DVM) in RAPN, focusing on their clinical applications, outcomes and future perspectives.Recent findings: 3DVMs are generated from contrast-enhanced CT scans through segmentation and reconstruction, enabling interactive anatomical visualization. These models provide functional tools such as perfusion territory mapping, volumetric renal function prediction and nephrometry-based complexity stratification. Integration with augmented reality (AR) platforms allows real-time intraoperative navigation. Comparative studies and meta-analyses demonstrate that 3DVM-guided RAPN is associated with reduced warm ischemia time (WIT), lower estimated blood loss (EBL), higher trifecta/pentafecta achievement and improved postoperative renal function, particularly in complex tumors. Additionally, 3DVM enhance surgical education and patient counselling. 3DVM represent a pivotal advancement in personalized urologic surgery. By improving anatomical comprehension, surgical precision, and planning of selective ischemia strategies, they contribute to superior intraoperative and functional outcomes in RAPN. Although promising, broader implementation requires standardization, cost-effectiveness validation and further multicentre prospective studies.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"60"},"PeriodicalIF":2.9000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Urology Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11934-025-01288-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose of review: Robot-assisted partial nephrectomy (RAPN) has become the gold standard for treating localized renal cell carcinoma (RCC) in high-volume centres. However, increasing tumor complexity demands refined preoperative planning tools. This review summarizes current evidence regarding the use of three-dimensional virtual models (3DVM) in RAPN, focusing on their clinical applications, outcomes and future perspectives.

Recent findings: 3DVMs are generated from contrast-enhanced CT scans through segmentation and reconstruction, enabling interactive anatomical visualization. These models provide functional tools such as perfusion territory mapping, volumetric renal function prediction and nephrometry-based complexity stratification. Integration with augmented reality (AR) platforms allows real-time intraoperative navigation. Comparative studies and meta-analyses demonstrate that 3DVM-guided RAPN is associated with reduced warm ischemia time (WIT), lower estimated blood loss (EBL), higher trifecta/pentafecta achievement and improved postoperative renal function, particularly in complex tumors. Additionally, 3DVM enhance surgical education and patient counselling. 3DVM represent a pivotal advancement in personalized urologic surgery. By improving anatomical comprehension, surgical precision, and planning of selective ischemia strategies, they contribute to superior intraoperative and functional outcomes in RAPN. Although promising, broader implementation requires standardization, cost-effectiveness validation and further multicentre prospective studies.

查看原文本刊更多论文

机器人辅助部分肾切除术中的三维虚拟模型：精准手术时代的必备工具。

综述目的：机器人辅助部分肾切除术（RAPN）已成为高容量中心治疗局限性肾细胞癌（RCC）的金标准。然而，日益增加的肿瘤复杂性需要完善的术前规划工具。本文综述了目前关于三维虚拟模型（3DVM）在RAPN中应用的证据，重点介绍了它们的临床应用、结果和未来前景。最新发现：3dms是由对比增强CT扫描通过分割和重建生成的，实现了交互式解剖可视化。这些模型提供了功能性工具，如灌注区域制图、容量肾功能预测和基于肾计量的复杂性分层。与增强现实（AR）平台的集成允许实时术中导航。比较研究和荟萃分析表明，3dvm引导下的RAPN与减少热缺血时间（WIT）、降低估计失血量（EBL）、提高三效/五效效果和改善术后肾功能有关，特别是在复杂肿瘤中。此外，3DVM还加强了手术教育和患者辅导。3DVM代表了个性化泌尿外科手术的关键进步。通过提高解剖理解，手术精度和选择性缺血策略的规划，它们有助于RAPN的术中和功能预后。虽然有希望，但更广泛的实施需要标准化、成本效益验证和进一步的多中心前瞻性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.