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三维打印技术在复杂腹腔镜肾手术中的应用:马蹄肾中的肾肿瘤。

Role of the three-dimensional printing technology incomplex laparoscopic renal surgery: a renal tumor in a horseshoe kidney.

机构信息

Department of Urology, Clinic Hospital of Barcelona, Barcelona, Spain.

Department of Radiology, Clinic Hospital of Barcelona, Barcelona, Spain.

出版信息

Int Braz J Urol. 2019 Nov-Dec;45(6):1129-1135. doi: 10.1590/S1677-5538.IBJU.2019.0085.

Abstract

PURPOSE

To report our initial experience using a patient-specific 3D-printed renal tumor model for the surgical planning of a complex heminephrectomy in a horseshoe kidney.

MATERIALS AND METHODS

We selected a clinical case for a complex laparoscopic surgery consisting in a 53 year-old male presenting a local recurrence of a renal tumor in a horseshoe kidney with aberrant vascularisation previously treated with a laparoscopic partial nephrectomy. He is now proposed for a laparoscopic left heminephrectomy. Along with conventional imaging, a real-size 3D-printed renal model was used to plan de surgical approach. The perioperative experience of the surgical team was recorded.

RESULTS

The surgical team found the patient-specifi c 3D printed model useful for a better understanding of the anatomy and an easier surgical planning.

CONCLUSION

The use of patient-specifi c 3D-printed renal models seem to be helpful for the surgical planning in complex renal tumors.

摘要

目的

报告我们使用患者特异性 3D 打印肾脏肿瘤模型对马蹄肾复杂部分肾切除术进行手术规划的初步经验。

材料和方法

我们选择了一个临床病例进行复杂的腹腔镜手术,该病例为一名 53 岁男性,马蹄肾中有一个局部复发性肿瘤,该肿瘤之前曾通过腹腔镜部分肾切除术进行治疗,且血管畸形。现在建议他进行腹腔镜左肾切除术。除了常规影像学检查外,还使用实际大小的 3D 打印肾脏模型来规划手术入路。记录手术团队的围手术期经验。

结果

手术团队发现患者特异性 3D 打印模型有助于更好地了解解剖结构并进行更简单的手术规划。

结论

使用患者特异性 3D 打印肾脏模型似乎有助于复杂肾脏肿瘤的手术规划。

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