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Interactive virtual 3D image reconstruction to assist renal surgery in patients with fusion anomalies of the kidney

Morka, N; Berger, L; Hyde, E; Mumtaz, F; Barod, R; Patki, P; Graafland, N; ... Bex, A; + view all (2022) Interactive virtual 3D image reconstruction to assist renal surgery in patients with fusion anomalies of the kidney. Journal of Clinical Urology 10.1177/20514158211068310. (In press). Green open access

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Abstract

Objective: Renal fusion anomalies are rare and usually present as horseshoe kidneys or crossed fusion ectopia. The complex renal anatomy seen in patients with these anomalies can present a challenge. Pre-operative planning is therefore paramount in the surgical management of these cases. Herein we report the use of interactive virtual three-dimensional (3D) reconstruction to aid renal surgery in patients with fusion anomalies of the kidney. / Materials and Methods: A total of seven cases were performed between May 2016 and October 2020. 3D reconstruction was rendered by Innersight Labs using pre-operative computed tomography (CT) scans. / Results: Five patients had malignant disease and two patients had benign pathology. Robotic and open operations were performed in four and three patients, respectively. / Conclusion: The use of 3D reconstruction in the cases reported in this series allowed for the identification of variations in renal vasculature, and this informed the choice of operative approach. / Oxford Centre for Evidence-Based Medicine Evidence Level: 4.

Type: Article
Title: Interactive virtual 3D image reconstruction to assist renal surgery in patients with fusion anomalies of the kidney
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/20514158211068310
Publisher version: https://doi.org/10.1177/20514158211068310
Language: English
Additional information: Copyright © British Association of Urological Surgeons 2022. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Keywords: Crossed ectopic fusion, horseshoe kidneys, pre-operative planning, renal cancer, renal fusion abnormality, 3D reconstruction
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/10160813
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