The impact of 3D models on positive surgical margins after robot-assisted radical prostatectomy

Health Information Technology Usability Evaluation Scale (Health-ITUES) and User-Experience Questionnaire (UEQ) for 3D Intraoperative Cognitive Navigation (ICON3DTM) System for Urological Procedures

“…The development of this platform perfectly fits in the current technology-driven era of urologic surgery, where the 3D models have gained a wide diffusion during different steps of surgery starting from preoperative evaluation to patient counseling and intraoperative navigation [ 16 ]. If at first their application was particularly dedicated to oncologic surgery [ 6 , 17 , 18 , 19 ], more recently these technologies have attracted interest also for benign diseases [ 20 ].…”

“…In the future, a larger adoption of 3D models’ guidance is desirable, encouraging the rise of preliminary clinical evidence [ 6 , 28 ]. A game changing role will be played by the adoption of artificial intelligence, starting from the 3D models’ creation [ 11 ] until the intraoperative setting with augmented reality surgery [ 29 ].…”

“…New technologies have allowed us to pursue even greater results, introducing the concept of surgical navigation [ 3 , 4 ]. In fact, the implementation of 3D models’ use during robot-assisted surgical procedures seems to have furtherly improved functional and oncological results of such procedures, thanks to a better visualization of both healthy and pathological structures [ 5 , 6 ].…”

The future of robotic surgery in urology: from augmented reality to the advent of metaverse

“…Several experiences have already demonstrated the potentialities of 3DVMs guidance in uro-oncologic surgery. 4 For prostate cancer, a selective modulation of the nerve-sparing approach can be carried out, reducing the positive surgical margins rate; 5 likewise, for kidney cancer, the AR images can help during both the resection and suturing phases 6 with promising, although under scrutiny, benefits on postoperative renal function. 7 More recently, this technology was also applied during robotic kidney transplantation, solving the open issue of atheromatic plaques identification, expanding the indication of robotic approach in this field.…”

Re: Walter Artibani, Giovanni Cacciamani. Is the Choice Between Clips and No Clips or Cautery and No Cautery Still a Dilemma in Robot-assisted Radical Prostatectomy? Eur Urol Open Sci 2022;44:76–7

“…Artificial intelligence (AI) and the implementation of technological innovations can have a huge impact on tailoring the NVB surgical approach. The use of three-dimensional models, augmented reality, and real-time digital microscopy can expand indications for nerve-sparing surgery, reducing the risk of positive surgical margins [7] , [8] . Tissue segmentation and instrument detection could help in identifying and preserving critical structures such as nerves and undetected functional tissue, and could potentially aid in avoiding adverse events and/or wrong dissection planes, taking surgical precision to the highest level [9] .…”