Michiels C, Boulenger de Hauteclocque A, Sarrazin J, Cornelis F, Ricard S, Faessel M, Grenier N, Bos F, Bernhard J C
Service de chirurgie urologique et transplantation rénale, CHU Bordeaux, Bordeaux, France.
Fablab et Technoshop Coh@bit, IUT, université de Bordeaux, Bordeaux, France.
Prog Urol. 2020 Nov;30(15):970-975. doi: 10.1016/j.purol.2020.09.007. Epub 2020 Oct 1.
Partial nephrectomy is a first-line treatment option for the management of renal tumors. It is a surgical procedure whose complexity and stakes vary according to the specific anatomy of the patient and his tumor. 3D modeling and 3D printing have become a means of representing and thus visualizing the tumor lesion and its anatomical relationships within the organ. This mode of visualization allows the surgeon and his team, but also the patient, to easily realize the tumor complexity, the predictable difficulty of the surgery and therefore the risks of complications. Various publications have reported the benefit to the patient in terms of pre-therapy education. Some have shown a benefit for the operator in terms of surgical planning. Finally, studies on preoperative surgical simulation showed shorter kidney lumpectomy times and less bleeding when surgeons were able to train before the operation on the corresponding 3D printed model. 3D printing therefore represents an innovative tool that would improve patient management prior to partial nephrectomy, through the information it can deliver, but also through surgical simulation.
肾部分切除术是治疗肾肿瘤的一线治疗选择。它是一种外科手术，其复杂性和风险根据患者及其肿瘤的具体解剖结构而有所不同。三维建模和3D打印已成为一种呈现并可视化肿瘤病变及其在器官内解剖关系的手段。这种可视化模式使外科医生及其团队以及患者能够轻松认识到肿瘤的复杂性、手术可预见的难度以及并发症风险。各种出版物都报道了其在术前教育方面对患者的益处。一些研究表明其在手术规划方面对术者有益。最后，关于术前手术模拟的研究表明，当外科医生能够在手术前对相应的3D打印模型进行训练时，肾肿块切除术时间更短，出血更少。因此，3D打印是一种创新工具，通过其提供的信息以及手术模拟，可改善肾部分切除术之前的患者管理。
