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尿路上皮肿瘤的三维模型:增材制造构建的未来

Three dimensional models in uro-oncology: a future built with additive fabrication.

机构信息

Department of Surgery, Austin Health, University of Melbourne, Studley Road Heidelberg, Melbourne, VIC, 3088, Australia.

The Young Urology Researchers Organisation (YURO), Melbourne, Australia.

出版信息

World J Urol. 2018 Apr;36(4):557-563. doi: 10.1007/s00345-018-2201-2. Epub 2018 Jan 25.

DOI:10.1007/s00345-018-2201-2
PMID:29372352
Abstract

PURPOSE

Three-dimensional (3D) printing was invented in 1983 but has only just begun to influence medicine and surgery. Conversion of digital images into physical models demonstrates promise to revolutionize multiple domains of surgery. In the field of uro-oncology, researchers and clinicians have recognized the potential of this technology and are working towards making it an integral part of urological practice. We review current literature regarding 3D printing and other 3D technology in the field of urology.

METHOD

A comprehensive assessment of contemporary literature was performed according to a modified PRISMA analysis for the purposes of this narrative review article. Medical databases that were searched included: Web of Science, EMBASE and Cochrane databases. Articles assessed were limited only to English-language peer-reviewed articles published between 1980 and 2017. The search terms used were "3D", "3-dimensional", "printing", "printing technology", "urology", "surgery". Acceptable articles were reviewed and incorporated for their merit and relevance with preference given for articles with high impact, original research and recent advances.

RESULTS

Thirty-five publications were included in final analysis and discussion.

CONCLUSIONS

The area of 3D printing in Urology shows promising results, but further research is required and cost reduction must occur before clinicians fully embrace its use. As costs continue to decline and diversity of materials continues to expand, research and clinical utilization will increase. Recent advances have demonstrated the potential of this technology in the realms of education and surgical optimization. The generation of personalized organs using 3D printing scaffolding remains the 'holy grail' of this technology.

摘要

目的

三维(3D)打印技术于 1983 年发明,但直到现在才开始影响医学和外科领域。将数字图像转换为物理模型有望彻底改变多个外科领域。在泌尿肿瘤学领域,研究人员和临床医生已经认识到这项技术的潜力,并正在努力使其成为泌尿外科实践的一个组成部分。我们回顾了当前关于 3D 打印和泌尿外科学领域其他 3D 技术的文献。

方法

根据修改后的 PRISMA 分析,对当代文献进行了全面评估,作为这篇叙述性综述文章的目的。我们检索的医学数据库包括:Web of Science、EMBASE 和 Cochrane 数据库。评估的文章仅限于 1980 年至 2017 年期间发表的英语同行评议文章。使用的搜索词是“3D”、“3 维”、“打印”、“打印技术”、“泌尿科”、“手术”。接受审查的文章因其优点和相关性而被纳入,并优先考虑具有高影响力、原始研究和最新进展的文章。

结果

最终分析和讨论纳入了 35 篇出版物。

结论

泌尿科 3D 打印领域显示出有希望的结果,但需要进一步研究,并且必须降低成本,临床医生才能完全接受其使用。随着成本的持续下降和材料的多样性不断扩大,研究和临床应用将会增加。最近的进展已经证明了这项技术在教育和手术优化领域的潜力。使用 3D 打印支架生成个性化器官仍然是这项技术的“圣杯”。

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Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations.解剖工程与手术及医疗器械的 3D 打印:国际综述及未来指数级创新
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本文引用的文献

1
Three-dimensional printing in medicine.医学中的三维打印
Med J Aust. 2017 Aug 7;207(3):102-103. doi: 10.5694/mja16.01073.
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Touching the future: three-dimensional printing facilitates preoperative planning, realistic simulation and enhanced precision in robot-assisted laparoscopic partial nephrectomy.
BJU Int. 2017 Apr;119(4):510-512. doi: 10.1111/bju.13800.
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The application of three-dimensional printing technology in anaesthesia: a systematic review.三维打印技术在麻醉中的应用:系统评价。
3D 打印个体化前列腺癌模型辅助神经保留机器人辅助根治性前列腺切除术:系统评价。
J Robot Surg. 2023 Feb;17(1):1-10. doi: 10.1007/s11701-022-01401-0. Epub 2022 Mar 29.
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The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review.3D 建模在食管胃手术中的当前和可能的未来作用:范围综述。
Surg Endosc. 2022 Aug;36(8):5907-5920. doi: 10.1007/s00464-022-09176-z. Epub 2022 Mar 11.
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Teaching Radial Endobronchial Ultrasound with a Three-Dimensional-printed Radial Ultrasound Model.使用三维打印的径向超声模型进行径向支气管内超声教学。
ATS Sch. 2021 Nov 22;2(4):606-619. doi: 10.34197/ats-scholar.2020-0152OC. eCollection 2021 Dec.
6
The Role of 3D-Printed Phantoms and Devices for Organ-specified Appliances in Urology.3D打印模型及器官专用器械在泌尿外科中的作用
Int J Bioprint. 2021 Mar 25;7(2):333. doi: 10.18063/ijb.v7i2.333. eCollection 2021.
7
Three-dimensional Reconstruction of Renal Vascular Tumor Anatomy to facilitate accurate preoperative planning of partial nephrectomy.肾血管肿瘤解剖结构的三维重建,以促进部分肾切除术的准确术前规划。
Biomedicine (Taipei). 2020 Dec 1;10(4):36-41. doi: 10.37796/2211-8039.1078. eCollection 2020.
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Open partial nephrectomy: current review.开放性部分肾切除术:当前综述
Transl Androl Urol. 2020 Dec;9(6):3149-3159. doi: 10.21037/tau-20-474.
9
The Recent Progress and Applications of Digital Technologies in Healthcare: A Review.数字技术在医疗保健领域的最新进展与应用:综述
Int J Telemed Appl. 2020 Dec 3;2020:8830200. doi: 10.1155/2020/8830200. eCollection 2020.
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Role of 3D printing in surgical education for robotic urology procedures.3D打印在机器人泌尿外科手术的外科教育中的作用。
Transl Androl Urol. 2020 Apr;9(2):931-941. doi: 10.21037/tau.2020.01.03.
Anaesthesia. 2017 May;72(5):641-650. doi: 10.1111/anae.13812. Epub 2017 Jan 27.
4
3D-printed soft-tissue physical models of renal malignancies for individualized surgical simulation: a feasibility study.用于个体化手术模拟的肾恶性肿瘤3D打印软组织物理模型:一项可行性研究
J Robot Surg. 2018 Mar;12(1):27-33. doi: 10.1007/s11701-017-0680-6. Epub 2017 Jan 20.
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"Plug and Play": a novel technique utilising existing technology to get the most out of the robot.“即插即用”:一种利用现有技术充分发挥机器人最大效能的新颖技术。
J Robot Surg. 2017 Jun;11(2):235-238. doi: 10.1007/s11701-016-0670-0. Epub 2017 Jan 2.
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J Laparoendosc Adv Surg Tech A. 2017 Feb;27(2):181-185. doi: 10.1089/lap.2016.0424. Epub 2016 Dec 2.
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Utility of patient-specific silicone renal models for planning and rehearsal of complex tumour resections prior to robot-assisted laparoscopic partial nephrectomy.患者特异性硅胶肾脏模型在机器人辅助腹腔镜部分肾切除术之前用于复杂肿瘤切除规划和预演的效用。
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Clin Radiol. 2016 Jun;71(6):610-4. doi: 10.1016/j.crad.2016.02.012. Epub 2016 Mar 14.
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Three-dimensional Printing and 3D Slicer: Powerful Tools in Understanding and Treating Structural Lung Disease.三维打印与3D Slicer:理解和治疗肺部结构疾病的有力工具。
Chest. 2016 May;149(5):1136-42. doi: 10.1016/j.chest.2016.03.001. Epub 2016 Mar 12.