Journal of Medical Case Reports (May 2024)

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

  • Tuan Thanh Nguyen,
  • Minh Sam Thai,
  • Quy Thuan Chau,
  • Ryan W. Dobbs,
  • Ho Yee Tiong,
  • Duc Minh Pham,
  • Ho Trong Tan Truong,
  • Kinh Luan Thai,
  • Huynh Dang Khoa Nguyen,
  • Thanh Thien Huynh,
  • Huu Phuoc Le,
  • Xuan Thai Ngo

DOI
https://doi.org/10.1186/s13256-024-04582-4
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 6

Abstract

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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.

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