Abstract：Objective: To introduce the experience of digital kidney in localization of endophytic renal tumor during partial nephrectomy. Methods: Preoperative image showed an endophytic renal tumor. Digital kidney was reconstructed by MIMICS. The tumor was localized by calculating the distance from tumor to the upper or lower pole of the kidney as well as the outline of the lateral kidney. The data was utilized during laparoscopic surgery to localize the tumor and partial nephrectomy was performed. Results: Digital kidney can localize accurately the endophytic renal tumor, and coincide with the reality. Conclusions: Digital kidney is a simple and reliable method to localize the endophytic renal tumor during partial nephrectomy.
[1]Alanee S, Nutt M, Moore A, et al. Partial nephrectomy for T2 renal masses: contemporary trends and oncologic efficacy. Int Urol Nephrol, 2015,47(6):945-950.
[2]Nayak JG, Patel P, Saarela O, et al. Pathological upstaging of clinical T1 to pathological T3a renal cell carcinoma: a multi-institutional analysis of short-term outcomes. Urology, 2016,94:154-160.
[3]Komninos C, Shin TY, Tuliao P, et al. Robotic partial nephrectomy for completely endophytic renal tumors: complications andfunctional and oncologic outcomes during a 4-year median period of follow-up. Urology, 2014,84(6):1367-1373.
[4]孙圣坤,徐阿祥,张旭. 数字化肾脏及其应用.中国数字医学,2013,8(9):76-79.
[5]Kim DK, Komninos C, Kim L, et al. Robot-assisted partial nephrectomy for endophytic tumors. Curr Urol Rep, 2015,16(11):76.
[6]Simpfendrfer T, Gasch C, Hatiboglu G, et al. Intraoperative CT-Imaging for navigated laparoscopic renal surgery: first clinical experience. J Endourol, 2016.[Epub ahead of print]
[7]Furukawa J, Miyake H, Tanaka K, et al. Console-integrated real-time three-dimensional image overlay navigation for robot-assisted partial nephrectomy with selective arterial clamping: early single-centre experience with 17 cases. Int J Med Rob, 2014,10(4):385-390.
[8]Tobis S, Knopf JK, Silvers C, et al. Robot-assisted and laparoscopic partial nephrectomy with near infrared fluorescence imaging. J Endourol, 2012,26(7):797-802.
[9]Shengkun Sun, Guangfu Chen, Xu Zhang. Digital kidney for planning in laparoscopic partial nephrectomy. Information Technology in Medicine and Education (ITME), 2012 International Symposium on.
