AB11. New technology of 3D imaging/reconstruction for robotic renal surgery

Abstract: Robotic surgery features the minimal invasiveness, correct identification of surgical layers, and acceleration of surgical education, which constitutes the substantial surgical innovations. In radical prostatectomy, robotic surgery reduces the positive margin rates, blood loss, duration of urinary incontinence, and the frequency of erectile dysfunction. In radical cystectomy, it remarkably reduces the blood loss.

The new dimension which robotic surgery will develop is the field of surgical navigation. We have initially utilized real 3D model of the organ and subsequently have developed the DICOM viewer for the virtual partial nephrectomy. This software successfully show the segmented components of the kidney and can predict the post-surgical renal function. Da Vinci can accommodate and interact the images for the surgical navigation in the panel, which directs the vascular structures and the making of surgical margins. This new technology allows us to do partial nephrectomy of the tumor with high RENAL scores. I will show the surgical video and discuss the new surgeon-friendly innovations of robotic surgery.

Keywords: 3D imaging; robotic renal surgery; positive margin rates