Luckily there are VIM bindings for nearly every single IDE of importance out there.
For things like renaming, an IDE would have a function for that, which isn't text based but symbolic. At the very least, bringing up a replace diaglog with regex functionality doesn't require any more keys to be pressed in an IDE than in emacs. Most IDEs's also support key bindings that are pretty close to Emacs or vim.
unless you use a dynamic language in which case you are shit out of luck.
Also, you can create quite a lot of code indirectly by few well-placed keystrokes that utilize multiple cursors / keyboard macros, regexp-replaces and things like this. Think of it as chiseling out an entire block of code at once. Spend little time mastering those features, and you can do things like this on the fly, without much conscious focus.