Three-dimensional Augmented Reality–guided Robotic-assisted Kidney Transplantation: Breaking the Limit of Atheromatic Plaques

医学 移植 肾移植 立体定向 增强现实 三维重建 虚拟现实 放射科 外科 人工智能 触觉技术 计算机科学
作者
Alberto Piana,Andrea Gallioli,Daniele Amparore,Pietro Diana,Angelo Territo,Riccardo Campi,Josep María Gaya,Lluís Guirado,Enrico Checcucci,Andrea Bellin,Joan Palou,Sergio Serni,Francesco Porpiglia,Alberto Breda
出处
期刊:European Urology [Elsevier BV]
卷期号:82 (4): 419-426 被引量:40
标识
DOI:10.1016/j.eururo.2022.07.003
摘要

Robotic-assisted kidney transplantation (RAKT) has shown solid results as a minimally invasive alternative to the standard open approach (open kidney transplantation [OKT]). However, RAKT is still limited in those cases where the recipient's iliac vessels present atherosclerotic plaques, frequently found in elder patients and in those subjected to long-term hemodialysis. Unlike OKT, where the surgeon can palpate the arterial plaques, in minimally invasive surgery the haptic feedback is missing, making the vascular clamping and arteriotomy unsafe.To employ three-dimensional (3D) imaging reconstruction using augmented reality (AR) to intraoperatively locate the plaques during the crucial steps of kidney transplantation.Our study was conducted according to the Idea, Development, Exploration, Assessment, and Long-term follow-up (IDEAL) model for surgical innovation. Three-dimensional virtual models were obtained from high-accuracy computed tomography scan imaging and superimposed on the vessels during RAKT using the Da Vinci console software.Three-dimensional AR-guided robotic-assisted kidney transplantation.The correspondence of virtual models with the real anatomy of patients was assessed comparing vessels' and plaques' measures.We tested the possibility of using the AR in the setting of vascular surgery by checking the correspondence of the virtual models to the real vessels. During the accuracy assessment, we investigated the anatomy of the iliac plaques and the capacity of the virtual models to correctly represent them. Finally, we tested the efficacy of the virtual model superimposition on the real vessels with plaques during RAKT in the recipients of living donor grafts. The main limitation consists in training needed to correctly superimpose virtual models on the real field.The employment of 3D AR allowed surgeons to overcome one of the main limitations of RAKT, setting the foundation to expand its indications to patients with advanced atheromatic vascular disease.The use of three-dimensional augmented reality guidance during kidney transplantation (KT) has the potential to "navigate" the surgeon during KT, allowing a safer procedure in patients with atheromatic vascular disease.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Minicoper完成签到,获得积分10
5秒前
科研通AI5应助普鲁卡因采纳,获得10
5秒前
111完成签到 ,获得积分10
5秒前
奥特曼完成签到 ,获得积分10
5秒前
苏苏完成签到,获得积分10
6秒前
大橙子完成签到,获得积分10
6秒前
kelite完成签到 ,获得积分10
7秒前
火星上的雨柏完成签到 ,获得积分10
8秒前
JY完成签到,获得积分10
9秒前
知行合一完成签到 ,获得积分10
9秒前
12秒前
12秒前
笑林完成签到 ,获得积分10
13秒前
wwl完成签到,获得积分10
13秒前
娟娟完成签到 ,获得积分10
14秒前
Hollen完成签到 ,获得积分10
14秒前
janejane发布了新的文献求助10
15秒前
16秒前
32429606完成签到 ,获得积分10
16秒前
17秒前
普鲁卡因发布了新的文献求助10
19秒前
发个15分的完成签到 ,获得积分10
21秒前
21秒前
wellyou发布了新的文献求助10
21秒前
量子星尘发布了新的文献求助10
26秒前
自由的鹏涛完成签到,获得积分20
29秒前
30秒前
在水一方应助Nayvue采纳,获得10
30秒前
33秒前
Ryan完成签到,获得积分10
34秒前
General完成签到 ,获得积分10
34秒前
谦让汝燕完成签到,获得积分10
36秒前
wellyou完成签到,获得积分10
37秒前
mint完成签到,获得积分10
39秒前
afli完成签到 ,获得积分0
42秒前
43秒前
Yy完成签到 ,获得积分10
46秒前
Nayvue发布了新的文献求助10
48秒前
feng完成签到,获得积分10
48秒前
淡淡的小蘑菇完成签到 ,获得积分10
51秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038128
求助须知:如何正确求助?哪些是违规求助? 3575831
关于积分的说明 11373827
捐赠科研通 3305610
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022