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Three-dimensional Reconstruction of Renal Tumor Anatomy for Preoperative Planning of Robotic Partial Nephrectomy in Renal Cell Carcinoma Cases with Duplex Kidney: a Case Report

Abstract

Background: The duplex kidney is one of the common congenital anomalies of the kidney and urinary tract. We present two cases of renal tumor accompanied with ipsilateral duplex kidney. The image of the tumor, renal artery system and collecting system were rendered by AI software (Fujifilm's Synapse AI Platform) to support the diagnosis and surgical planning.

Case Presentation: Two Vietnamese patients (a 45-year-old man and a 54-year-old woman) with incidental cT1 renal cell carcinoma (RCC) were confirmed to have ipsilateral duplex kidneys by 3D reconstruction AI technique. One patient had a Renal score 9ah tumor of left kidney while the other had a Renal score 9 × tumor of right kidney in which a preoperative CT scan failed to identify a diagnosis of duplex kidney. Using the Da Vinci platform, we successfully performed robotic partial nephrectomy without any damage to the collecting system in both cases.

Conclusion: RCC with duplex kidneys is a rare condition. By utilizing a novel AI reconstruction technique with adequate information, two patients with RCC in duplex kidneys were successfully performed robotic partial nephrectomy without complication.

References
1.
Lin C, Gao J, Zheng H, Zhao J, Yang H, Zheng Y . When to Introduce Three-Dimensional Visualization Technology into Surgical Residency: A Randomized Controlled Trial. J Med Syst. 2019; 43(3):71. PMC: 6373307. DOI: 10.1007/s10916-019-1157-0. View

2.
Ljungberg B, Albiges L, Abu-Ghanem Y, Bedke J, Capitanio U, Dabestani S . European Association of Urology Guidelines on Renal Cell Carcinoma: The 2022 Update. Eur Urol. 2022; 82(4):399-410. DOI: 10.1016/j.eururo.2022.03.006. View

3.
Alqarni N, AlAnazi A, Afaddagh A, Eldahshan S, Alshayie M, Alshammari A . Renal cell carcinoma in a duplex kidney in pediatric. Urol Ann. 2021; 13(3):320-322. PMC: 8343276. DOI: 10.4103/UA.UA_126_20. View

4.
Singh R, Wu W, Wang G, Kalra M . Artificial intelligence in image reconstruction: The change is here. Phys Med. 2020; 79:113-125. DOI: 10.1016/j.ejmp.2020.11.012. View

5.
Yener S, Pehlivanoglu C, Akis Yildiz Z, Ilce H, Ilce Z . Duplex Kidney Anomalies and Associated Pathologies in Children: A Single-Center Retrospective Review. Cureus. 2022; 14(6):e25777. PMC: 9270195. DOI: 10.7759/cureus.25777. View