用于机器人肾癌手术的新型成像技术。
New imaging technologies for robotic kidney cancer surgery.
作者信息
Puliatti Stefano, Eissa Ahmed, Checcucci Enrico, Piazza Pietro, Amato Marco, Ferretti Stefania, Scarcella Simone, Rivas Juan Gomez, Taratkin Mark, Marenco Josè, Rivero Ines Belenchon, Kowalewski Karl-Friedrich, Cacciamani Giovanni, El-Sherbiny Ahmed, Zoeir Ahmed, El-Bahnasy Abdelhamid M, De Groote Ruben, Mottrie Alexandre, Micali Salvatore
机构信息
Urology Department, University of Modena & Reggio Emilia, Modena, Italy.
ORSI Academy, Melle, Belgium.
出版信息
Asian J Urol. 2022 Jul;9(3):253-262. doi: 10.1016/j.ajur.2022.03.008. Epub 2022 Jun 1.
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.
目的
2020年肾癌约占所有新诊断癌症的2%。在肾癌的主要治疗方案中，泌尿外科医生可在根治性肾切除术、部分肾切除术或消融治疗之间进行选择。如今，机器人辅助部分肾切除术（RAPN）用于治疗肾癌越来越普遍，甚至被视为金标准。然而，RAPN是一项具有挑战性的手术，学习曲线较陡。
方法
在这篇叙述性综述中，讨论了用于指导和辅助RAPN的不同成像技术。
结果
三维可视化技术在RAPN中已得到广泛讨论，显示出其在加强机器人手术培训、患者咨询、手术规划和术中指导方面的价值。术中成像技术，如体内超声、近红外荧光成像和术中病理检查，也可用于改善RAPN后的治疗效果。最后，人工智能可能很快会在RAPN领域发挥作用。
结论
RAPN是一项复杂的手术；然而，许多成像技术可能在促进其实施方面发挥重要作用。
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