ArticleWorld journal of urology2025
Comparing different 3D virtual models generations for the planning of robotic partial nephrectomy: the added value of perfusion volumes implement.
Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Impact of 3D Virtual Modeling on Perioperative Outcomes in Robot-Assisted Partial Nephrectomy.Diagnostics (Basel, Switzerland) · 2026Article
- Three-dimensional Perfusion-zone Models Allow More Selective Clamping During Robot-assisted Partial Nephrectomy: Brief Report on a Retrospective Analysis.European urology open science · 2025Article
- Three-Dimensional Virtual Models in Robot Assisted Partial Nephrectomy: A Needed Tool in the Era of Precision Surgery.Current urology reports · 2025Review
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14 authors.
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Abstract
introductionThe aim of the study is to evaluate the role of a new generation of 3D virtual models (3DVM) implemented with perfusion volumes algorithm, in influencing perioperative and functional outcomes after robotic partial nephrectomy (RAPN).
methodsA perfusion volume 3DVM was built using Voronoi diagram-based algorithm for all the organ-confined renal masses candidate for RAPN from 12/2019 to 12/2022. On its basis, a selective or super-selective clamping was planned. A sub-cohort of patients underwent renal scintigraphy (RS), evaluating estimated renal plasmatic flow (ERPF). Data were compared with a retrospectively selected control group in which the surgery was assisted by 3DVM without perfusion volume assessment.
results116 and 217 were considered. In 77 (67.5%) and 81 (37.3%) patients a selective or super-selective clamping was performed, in the study and control group respectively (p < 0.001). A higher rate of third-order artery clamping was recorded in the study group (42/77 vs. 26/81, p 0.004). No difference was found in terms of postoperative complications (overall postoperative: 17.2% and 19.3%; major complications: 3.4% and 3.2%). Clamping strategy failure was recorded in 5 (4.3%) and 26 (11.9%) (p 0.02). A significant ERPF drop (> 20%) was recorded in 3/51 (5.8%) and 16/82 (19.5%) patients in study and control group, respectively (p 0.04). Similarly, median delta ERPF resulted different between the groups (-10.69% vs. -18.92%, p < 0.001).
conclusionsPerfusional volumes 3DVMs, lead the surgeon to perform a higher rate of effective selective and super-selective clampings, translating in higher rates of renal units functionally saved.
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