3D anatomical digital twins: New generation virtual models to navigate robotic partial nephrectomy.

Objective 3D virtual models have gained interest in urology, particularly in the context of robotic partial nephrectomy. From these, newly developed "anatomical digital twin models" reproduce both the morphological and anatomical characteristics of the organs, including the texture of the tissues they comprise. The aim of the study was to develop and test the new digital twins in the setting of intraoperative guidance during robotic-assisted partial nephrectomy (RAPN).

Nephrometry Scores Based on Three-dimensional Virtual Models Improve the Accuracy of Predicting Postoperative Complications After Robotic Partial Nephrectomy: Results from a Collaborative ERUS Validation Study.

Background And Objective: The aim of our study was to compare assessment of PADUA and RENAL nephrometry scores and risk/complexity categories via two-dimensional (2D) imaging and three-dimensional virtual models (3DVM) in a large multi-institutional cohort of renal masses suitable for robot-assisted partial nephrectomy (RAPN), and evaluate the predictive role of these imaging approaches for postoperative complications.

Methods: Patients were prospectively enrolled from six international high-volume robotic centers, calculating PADUA and RENAL-nephrometry scores and their relative categories with 2D-imaging and 3DVMs. The concordance of nephrometry scores and categories between the two approaches was evaluated using χ tests and Cohen's κ coefficient.

Comparing different 3D virtual models generations for the planning of robotic partial nephrectomy: the added value of perfusion volumes implement.

Introduction: The aim of the study is to evaluate the role of a new generation of 3D virtual models (3DVM) implemented with perfusion volumes algorithm, in influencing perioperative and functional outcomes after robotic partial nephrectomy (RAPN).

Methods: A perfusion volume 3DVM was built using Voronoi diagram-based algorithm for all the organ-confined renal masses candidate for RAPN from 12/2019 to 12/2022. On its basis, a selective or super-selective clamping was planned.

TYTOCARE™ home telemonitoring device after radical cystectomy to optimise postoperative outcomes.

Objectives: To evaluate the role of the TYTOCARE™ telemedicine programme for home telemonitoring during the early postoperative period following radical cystectomy (RC) in a prospective single-centre study.

Materials And Methods: The study included patients aged <80 years with internet access who underwent RC at our institution between March 2021 and August 2023. Upon discharge, patients were monitored at home using the TYTOCARE™ telemedicine system.