Daniele Amparore 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , 2 2 European Association of Urology Young Academic Urologists Renal Cancer Working Group, Arnhem, The Netherlands , Federico Piramide 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Angela Pecoraro 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , 2 2 European Association of Urology Young Academic Urologists Renal Cancer Working Group, Arnhem, The Netherlands , Paolo Verri 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Enrico Checcucci 3 3 Department of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy , 4 4 European Association of Urology Young Academic Urologists Uro-technology and SoMe Working Group, Arnhem, The Netherlands , Sabrina De Cillis 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Alberto Piana 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Giovanni Busacca 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Matteo Manfredi 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Cristian Fiori 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy , Francesco Porpiglia 1 1 Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy
Eur Urol Open Sci. 2022 Mar 4;38:60-66
COMMENT
In this interesting paper the authors shows the importance of the 3-D virtual models (3DVMs) to the study of kidney anatomy and the renal tumors before the nephron-sparing surgery (NSS). The robotic surgery provided important advances for the realization of the NSS, but the tumor anatomy is the key point of this procedure. Recently several papers shows the importance of the study of renal and ureteral anatomy with 3D printing models and CT-reconstruction models for surgical training for urological procedures (11 Marroig B, Frota R, Fortes MA, Sampaio FJ, Favorito LA. Influence of the renal lower pole anatomy and mid-renal-zone classification in successful approach to the calices during flexible ureteroscopy. Surg Radiol Anat. 2016;38:293-7.–33 Sobrinho ULGP, Albero JRP, Becalli MLP, Sampaio FJB, Favorito LA. Three-dimensional printing models of horseshoe kidney and duplicated pelvicalyceal collecting system for flexible ureteroscopy training: a pilot study. Int Braz J Urol. 2021;47:887-9.). In the present paper the authors studied three patients with high-complexity renal masses with unusual anatomy and an imperative indication for NSS underwent contrast-enhanced computed tomography from which a 3DVM was obtained. The paper has amazing pictures of the kidney tumors anatomy. The authors concluded that three-dimensional models help in defining the best surgical strategy for kidney tumors, especially for complex tumors that require surgery to spare as much of the kidney as possible.
REFERENCES
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1Marroig B, Frota R, Fortes MA, Sampaio FJ, Favorito LA. Influence of the renal lower pole anatomy and mid-renal-zone classification in successful approach to the calices during flexible ureteroscopy. Surg Radiol Anat. 2016;38:293-7.
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2Sobrinho ULGP, Sampaio FJB, Favorito LA. Lower pole anatomy of horseshoe kidney and complete ureteral duplication: Anatomic and radiologic study applied to endourology. Int Braz J Urol. 2022;48:561-8.
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3Sobrinho ULGP, Albero JRP, Becalli MLP, Sampaio FJB, Favorito LA. Three-dimensional printing models of horseshoe kidney and duplicated pelvicalyceal collecting system for flexible ureteroscopy training: a pilot study. Int Braz J Urol. 2021;47:887-9.
Publication Dates
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Publication in this collection
26 Aug 2022 -
Date of issue
Sep-Oct 2022
