Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Mar;40(3):671-677.
doi: 10.1007/s00345-021-03745-y. Epub 2021 Jun 16.

Patient-specific, touch-based registration during robotic, image-guided partial nephrectomy

Naren Nimmagadda  1 , James M Ferguson  2 , Nicholas L Kavoussi  1 , Bryn Pitt  2 , Eric J Barth  2 , Josephine Granna  2 , Robert J Webster 3rd  2 , S Duke Herrell 3rd  3
Affiliations
Review

Patient-specific, touch-based registration during robotic, image-guided partial nephrectomy

Naren Nimmagadda et al. World J Urol. 2022 Mar.

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.

Keywords: Image-guidance; Partial nephrectomy; Re-registration; Registration; Robot-assisted; Touch-based.

PubMed Disclaimer

References

    1. Simpfendörfer T, Gasch C, Hatiboglu G, Müller M, Maier-Hein L, Hohenfellner M et al (2016) Intraoperative computed tomography imaging for navigated laparoscopic renal surgery: first clinical experience. J Endourol 30(10):1105–1111 - PubMed
    1. Porpiglia F, Checcucci E, Amparore D, Piramide F, Volpi G, Granato S et al (2020) Three-dimensional augmented reality robot-assisted partial nephrectomy in case of complex tumours (PADUA ≥ 10): a new intraoperative tool overcoming the ultrasound guidance. Eur Urol 78(2):229–238 - PubMed
    1. Satoshi K, Byunghyun C, Jun M, Junichi I, Katsunori T, Makoto H et al (2020) Surgical navigation improves renal parenchyma volume preservation in robot-assisted partial nephrectomy: a propensity score matched comparative analysis. J Urol 204(1):149–156
    1. Herrell SD, Kwartowitz DM, Milhoua PM, Galloway RL (2009) Toward image guided robotic surgery: system validation. J Urol 181(2):783–790 - PubMed
    1. Ferguson JM, Pitt EB, Remirez AA, Siebold MA, Kuntz A, Kavoussi NL et al (2020) Toward practical and accurate touch-based image guidance for robotic partial nephrectomy. IEEE Trans Med Robot Bionics 2(2):196–205

LinkOut - more resources