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使用三维方块型肾脏模型对初治病例进行机器人辅助部分肾切除术。

Robot-assisted partial nephrectomy of initial cases using a 3D square-block type kidney model.

作者信息

Yamazaki Masahiro, Takayama Tatsuya, Fujisaki Akira, Kamimura Tomoki, Mashiko Toshihiro, Fujimura Tetsuya

机构信息

Department of Urology, Jichi Medical University Hospital, Tochigi, Japan.

Department of Radiology, Jichi Medical University Hospital, Tochigi, Japan.

出版信息

Transl Androl Urol. 2020 Apr;9(2):494-500. doi: 10.21037/tau.2019.12.31.

Abstract

BACKGROUND

It is extremely important to understand the local anatomy prior to performing appropriate and efficient robot-assisted partial nephrectomies (RAPNs).

METHODS

We developed a personalized three-dimensional printed kidney model of square-block type to enhance our knowledge and understanding on the underlying anatomy during RAPN, and we consequently applied this model to six initial cases of RAPN.

RESULTS

The mean warm ischemic time was 18 minutes and the mean estimated blood loss was 59 mL. Only one patient presented with a minor complication, whereas all six patients included in this study were surgical margin negative.

CONCLUSIONS

We believe that this cost-effective model helped us in understanding the underlying local anatomy and facilitating an increased efficiency in the related surgery. Further studies are required to validate our preliminary results.

摘要

背景

在进行恰当且高效的机器人辅助部分肾切除术(RAPN)之前,了解局部解剖结构极其重要。

方法

我们开发了一种方块状的个性化三维打印肾脏模型,以增强我们在RAPN过程中对基础解剖结构的认识和理解,并将该模型应用于6例初始RAPN病例。

结果

平均热缺血时间为18分钟,平均估计失血量为59毫升。仅1例患者出现轻微并发症,而本研究纳入的所有6例患者手术切缘均为阴性。

结论

我们认为这种经济高效的模型有助于我们理解基础局部解剖结构,并提高相关手术的效率。需要进一步研究来验证我们的初步结果。

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