Abstract
Image-guidance during partial nephrectomy enables navigation within the operative field alongside a 3-dimensional roadmap of renal anatomy generated from patient-specific imaging. Once a process is performed by the human mind, the technology will allow standardization of the task for the benefit of all patients undergoing robot-assisted partial nephrectomy. Any surgeon will be able to visualize the kidney and key subsurface landmarks in real-time within a 3-dimensional simulation, with the goals of improving operative efficiency, decreasing surgical complications, and improving oncologic outcomes. For similar purposes, image-guidance has already been adopted as a standard of care in other surgical fields; we are now at the brink of this in urology. This review summarizes touch-based approaches to image-guidance during partial nephrectomy, as the technology begins to enter in vivo human evaluation. The processes of segmentation, localization, registration, and re-registration are all described with seamless integration into the da Vinci surgical system; this will facilitate clinical adoption sooner.
Original language | English (US) |
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Pages (from-to) | 671-677 |
Number of pages | 7 |
Journal | World journal of urology |
Volume | 40 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2022 |
Externally published | Yes |
Keywords
- Image-guidance
- Partial nephrectomy
- Re-registration
- Registration
- Robot-assisted
- Touch-based
ASJC Scopus subject areas
- Urology