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3D 打印的胆囊管及其变体解剖模型,为腹腔镜手术训练内部模拟器提供了低成本解决方案。

3D-printed anatomical models of the cystic duct and its variants, a low-cost solution for an in-house built simulator for laparoscopic surgery training.

机构信息

Radiology and Imaging Department, Facultad de Medicina y Hospital Universitario "Dr. José E. González, Universidad Autónoma de Nuevo León, Ave. Francisco I. Madero S/N, Colonia Mitras Centro, Monterrey, Nuevo León, Mexico.

Department of General Surgery, Facultad de Medicina y Hospital Universitario "Dr. José E. González, Universidad Autónoma de Nuevo León, C.P. 64460, Monterrey, Nuevo León, Mexico.

出版信息

Surg Radiol Anat. 2021 Apr;43(4):537-544. doi: 10.1007/s00276-020-02631-3. Epub 2021 Jan 1.

DOI:10.1007/s00276-020-02631-3
PMID:33386458
Abstract

OBJECTIVES

To explore a method to create affordable anatomical models of the biliary tree that are adequate for training laparoscopic cholecystectomy with an in-house built simulator.

METHODS

We used a fused deposition modeling 3D printer to create molds of Acrylonitrile Butadiene Styrene (ABS) from Digital Imaging and Communication on Medicine (DICOM) images, and the molds were filled with silicone rubber. Thirteen surgeons with 4-5-year experience in the procedure evaluated the molds using a low-cost in-house built simulator utilizing a 5-point Likert-type scale.

RESULTS

Molds produced through this method had a consistent anatomical appearance and overall realism that evaluators agreed or definitely agreed (4.5/5). Evaluators agreed on recommending the mold for resident surgical training.

CONCLUSIONS

3D-printed molds created through this method can be applied to create affordable high-quality educational anatomical models of the biliary tree for training laparoscopic cholecystectomy.

摘要

目的

探索一种方法,以创建负担得起的胆道解剖模型,这些模型足以用于在内部建造的模拟器上进行腹腔镜胆囊切除术培训。

方法

我们使用熔丝制造(Fused Deposition Modeling,FDM)3D 打印机,根据医学数字成像和通信(Digital Imaging and Communication on Medicine,DICOM)图像创建丙烯腈-丁二烯-苯乙烯(Acrylonitrile Butadiene Styrene,ABS)模具,然后用硅橡胶填充模具。13 名具有 4-5 年手术经验的外科医生使用成本低廉的内部建造模拟器,根据 5 分制 Likert 量表对模具进行评估。

结果

通过这种方法生产的模具具有一致的解剖外观和整体逼真度,评估者一致或非常同意(4.5/5)。评估者一致同意推荐该模具用于住院医师手术培训。

结论

通过这种方法创建的 3D 打印模具可用于创建负担得起的高质量胆道解剖教育模型,用于腹腔镜胆囊切除术培训。

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