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3D 打印技术及其在泌尿外科培训中的作用。

3D printing technology and its role in urological training.

机构信息

King's College London, MRC Centre for Transplantation, London, UK.

出版信息

World J Urol. 2020 Oct;38(10):2385-2391. doi: 10.1007/s00345-019-02995-1. Epub 2019 Nov 1.

DOI:10.1007/s00345-019-02995-1
PMID:31676911
Abstract

PURPOSE

Surgical simulation and 3D printing have both been gaining traction exclusively over the past decade, and now have started to appear simultaneously in current research. The opinion that surgical simulation should be part of surgery curricula is becoming ever more apparent. In this review, we highlight and briefly examine the 3D printing workflow, and each facet of the current body of literature using this technology in the augmentation of surgical training, in addition to the challenges currently faced.

METHODS

A broad literature search was conducted pertaining to the utilisation of 3D printing in urology, aiming to sample the majority of use-cases of this fairly novel technology. The 3D printing workflow, current use-cases of 3D printing as applied to urological training, and challenges faced have been described.

RESULTS

A respectable number of surgical use-cases utilising 3D printing technology in their development were identified, including but not limited to percutaneous nephrolithotomy, partial nephrectomy, renal transplantation, laparoscopic pyeloplasty, prostate brachytherapy, transurethral resection of bladder tumours, urethrovesical anastomosis simulation devices, in addition to laparoscopic trainers and robotic surgery phantoms.

CONCLUSION

Over the last decade, urology has taken this cutting-edge technology in its stride; flaunting its efficacy in the augmentation of a number of procedural training applications. The number of use cases for this technology is only expected to rise as its virtues are demonstrated, the ease of use and availability of 3D printing units advances, and costs abated.

摘要

目的

手术模拟和 3D 打印在过去十年中都得到了迅猛发展,现在它们开始同时出现在当前的研究中。越来越多的人认为手术模拟应该成为手术课程的一部分。在这篇综述中,我们强调并简要检查了 3D 打印工作流程,以及当前使用该技术在手术培训方面的各个方面的文献,此外还讨论了当前面临的挑战。

方法

我们进行了广泛的文献检索,涉及泌尿科 3D 打印的应用,旨在采样这项新技术的大多数应用案例。描述了 3D 打印工作流程、当前在泌尿科培训中应用 3D 打印的案例以及面临的挑战。

结果

确定了相当数量的利用 3D 打印技术开发的手术应用案例,包括但不限于经皮肾镜碎石术、部分肾切除术、肾移植、腹腔镜肾盂成形术、前列腺近距离放疗、经尿道膀胱肿瘤切除术、尿道膀胱吻合模拟装置,以及腹腔镜培训器和机器人手术模拟体。

结论

在过去的十年中,泌尿科已经熟练地掌握了这项前沿技术;在许多程序培训应用中展示了其增强效果。随着这项技术的优点得到证明、3D 打印设备的易用性和可用性得到提高以及成本降低,这项技术的应用案例数量预计只会增加。

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