Enrico Checcucci

Enrico Checcucci
Università degli Studi di Torino | UNITO

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365
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Publications

Publications (365)
Article
Full-text available
Purpose To evaluate the role of 3D models on positive surgical margin rate (PSM) rate in patients who underwent robot-assisted radical prostatectomy (RARP) compared to a no-3D control group. Secondarily, we evaluated the postoperative functional and oncological outcomes. Methods Prospective study enrolling patients with localized prostate cancer (...
Article
Full-text available
Background Nowadays a tool able to predict the risk of lymph-node invasion (LNI) in patients underwent target biopsy (TB) only before radical prostatectomy (RP) is still lacking. Our aim is to develop a model based on mp-MRI and target biopsy (TB) alone able to predict the risk of LNI. Methods We retrospectively extracted data of patients with pre...
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Full-text available
In current precision prostate cancer (PCa) surgery era the identification of the best patients candidate for prostate biopsy still remains an open issue. The aim of this study was to evaluate if the prostate target biopsy (TB) outcomes could be predicted by using artificial intelligence approach based on a set of clinical pre-biopsy. Pre-biopsy cha...
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Purpose of review In the last decades, new promising technologies for the treatment of BPH-related lower urinary tract symptoms (LUTS) have been widely experienced in clinical practice, with the aim of offering fewer complications but similar functional outcomes compared with the gold standard transurethral resection of the prostate (TURP). Among t...
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Full-text available
Context: Robot-assisted partial nephrectomy (RAPN) has gained increasing popularity as primary minimally invasive surgical treatment for localized renal tumors, and it has preferably been performed with a transperitoneal approach. However, the retroperitoneal approach represents an alternative approach given potential advantages. Objective: To p...
Article
Objective Kidney cancers accounts for approximately 2% of all newly diagnosed cancer in 2020. Among the primary treatment options for kidney cancer, urologist may choose between radical or partial nephrectomy, or ablative therapies. Nowadays, robotic-assisted partial nephrectomy (RAPN) for the management of renal cancers has gained popularity, up t...
Article
Artificial intelligence (AI) has made considerable progress within the last decade and is the subject of contemporary literature. This trend is driven by improved computational abilities and increasing amounts of complex data that allow for new approaches in analysis and interpretation. Renal cell carcinoma (RCC) has a rising incidence since most t...
Article
Objective The aim of the study was to evaluate three-dimensional virtual models (3DVMs) usefulness in the intraoperative assistance of minimally-invasive partial nephrectomy in highly complex renal tumors. Methods At our institution cT1-2N0M0 all renal masses with Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) classification sc...
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Purpose Many software for US/MRI guided fusion prostate biopsy (FPB), have been developed in the last years. However, there are few data comparing diagnostic accuracy of different fusion systems. We assessed diagnostic performance of elastic (EF) versus rigid fusion (RF) PB in a propensity score matched (PSM) analysis. Methods A total of 314 FPB w...
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Background Some renal tumors have an imperative indication for nephron-sparing surgery (NSS), such as in cases of chronic kidney disease and bilateral complex tumors. Objective To demonstrate the degree to which three-dimensional virtual model (3DVM) assistance can be helpful in planning the surgical strategy for high-complexity renal masses with...
Article
Introduction: Augmented reality (AR) applied to surgical procedures refers to the superimposition of preoperative or intra-operative images onto the operative field. Augmented reality has been increasingly used in myriad surgical specialties including Urology. The following study reviews advances in the use of AR for improvements in urologic outco...
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ContextLarge and complex renal stones are usually treated with percutaneous nephrolithotomy (PCNL). One of the crucial steps in this procedure is the access to the collecting system with the percutaneous puncture and this maneuver leads to a risk of vascular and neighboring organs’ injury. In the last years, the application of virtual image-guided...
Article
Objective In the last years three dimensional virtual models (3DVMs) had a widespread diffusion in the renal surgery field thanks to their more precise representation of anatomical details. Among the different ways to use the 3DVMs, Augmented reality seems one of the most promising thanks to the possibility of its application during both preoperati...
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Full-text available
Context The development of a tailored, patient-specific medical and surgical approach is becoming object of intense research. In kidney oncologic surgery, where a clear understanding of case-specific surgical anatomy is considered a key point to optimize the perioperative outcomes, such philosophy gained increasing importance. Recently, important a...
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Robot-assisted simple prostatectomy represents a solid treatment option for benign prostatic obstruction in patients with large prostate glands. This procedure offers multiple attractive features that make it a strong competitor against endoscopic enucleation of the prostate.
Article
Full-text available
Aim: The purpose of the study was to describe our surgical technique of salvage robot-assisted radical prostatectomy (sRARP) in patients who underwent primary high-intensity focused ultrasound (HIFU) and to report the perioperative, functional, and oncological outcomes during the first year follow up. The secondary aim of the study was to review th...
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Background: To test for differences in cancer specific mortality (CSM) rates between radical nephrectomy (RN) and partial nephrectomy (PN) in pT3a nmRCC patients. Methods: Within the Surveillance, Epidemiology, and End Results database (2005-2016), 13,177 pT3a patients treated with either PN or RN were identified. Before and after 1:2 ratio prop...
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Objective : Nowadays the development of new technologies in urological field allows to perform surgical approaches tailored on the characteristics of each single case. Three-dimensional virtual models (3DVMs) have been developed in the last years to overcome the “building in mind” process that the surgeon should do to perceive the features of the o...
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Objectives To present our Urethral Sparing Robotic-Assisted Simple Prostatectomy (usRASP) technique for large Benign Prostatic Enlargement (BPE) and to evaluate its efficacy in maintaining antegrade ejaculation. Patients and surgical procedures In this prospective study we enrolled consecutive patients who underwent RASP with urethral-sparing inte...
Article
BACKGROUND : Augmented reality robot-assisted partial nephrectomy (AR-RAPN) is limited by the need of a constant manual overlapping of the hyper-accuracy 3D (HA3DTM) virtual models to the real anatomy. OBJECTIVE : To present our preliminary experience with automatic 3D virtual model overlapping during AR-RAPN. MATERIALS : To reach a fully automat...
Article
Objective In 3% of cases renal cell carcinoma (RCC) is diagnosed with synchronous bilateral renal masses. However, until today, the optimal treatment strategies for these patients remain unknown. In clinical practice bilateral partial nephrectomies (PNs) are the treatment of choice because of the functional advantage relative to radical nephrectomy...
Article
The development of a tailored, patient-specific medical and surgical approach is becoming the object of intense research. In robotic urologic surgery, where a clear understanding of case-specific surgical anatomy is considered a key point to optimizing the perioperative outcomes, such philosophy has gained increasing importance. Recently, significa...
Article
In the last few years, new technologies have been developed to treat benign prostatic hyperplasia (BPH) in order to offer valid surgical alternatives to transurethral resection of the prostate with lower complications and hospitalization while maintaining satisfactory functional results. Among these new approaches, transurethral implantation of fir...
Article
Objectives To describe our robotic Y intracorporeal neobladder (ICNB) technique and to report its post-operative complications and urodynamics (UD) findings. Subjects and Methods: In this prospective study we enrolled patients affected by MIBC (T1-T4N0–N1M0) from 01/2017 to 06/2021 at our Centers. All the patients underwent robotic radical cystect...
Chapter
Nowadays, the urologic surgery has entered in precision surgery era. The image guided surgery is one of the most promising technology, and in particular the possibility to overlap virtual images enhancing the patient’s anatomy allows to perform augmented reality procedures (AR).
Article
Background: The aim of the study was to assess the effectiveness of the main classes of drugs used at reducing morbidity related to ureteric stents. Summary: After establishing a priori protocol, a systematic electronic literature search was conducted in July 2019. The randomized clinical trials (RCTs) selection proceeded in accordance with the...
Article
Full-text available
PurposeTo assess the outcomes of retroperitoneal robot-assisted partial nephrectomy (r-RAPN) in a large cohort of patients with postero-lateral renal masses comparing to those of transperitoneal RAPN (t-RAPN).Methods Patients with posterior (R.E.N.A.L. score grading P) or lateral (grading X) renal mass who underwent RAPN in six high-volume US and E...
Article
Background Despite technical and technological innovations, percutaneous puncture still represents the most challenging step when performing percutaneous nephrolithotomy. This maneuver is characterized by the steepest learning curve and a risk of injuring surrounding organs and kidney damage. Objective To evaluate the feasibility of three-dimensio...
Article
The clinical utility of three-dimensional virtual models has been widely explored for preoperative planning, patient counseling, surgical training, and intraoperative navigation. There is now a need for standardized methodology for construction of these models so that their utility can be realized in routine practice to achieve the goal of individu...