Digital 3D Planning: Laparoscopic Partial Nephrectomy
Dr. Gonzalo Vitagliano
Hospital Alemán - Buenos Aires, Argentina
✔ Increased understanding of renal anatomy
✔ Surgical plan design
✔ Improved interaction between the surgical team
✔ Improved safety at the time of surgery
✔ Guidance in the surgical approach during the intervention
✔ Reduction of surgical time
A tomographic control was performed in a 37-year-old female patient with no history of disease. The results showed a renal incidentaloma in the right kidney.
The complexity of the case lay in the fact that the tumour was located completely within the renal parenchyma with no external visualisation. This represented a significant compromise of the structure and functionality of the kidney.
Surgical plan and results in operating room
The surgical plan was a laparoscopic partial nephrectomy with a transperitoneal approach, designed using a digital model of the organ and structures of interest.
It was of utmost importance to be able to determine the extent of the tumour and precisely identify its relationship with the rest of the renal anatomy, in order to achieve a resection with optimal negative margins and favour the performance of renal function post-surgery.
You may be interested in: "Nephrectomies during the COVID19 pandemic" This is not the first case where 3D models are used for the treatment of renal incidentalomas, in the Htal. Metropolitano de Quito, Ecuador, they also used this technique to optimise the results of the surgery.
The 3D biomodelling allowed the procedure to be performed in just 2 hours, with less bleeding and greater control due to the predictability of the surgical scenario.