Janssen M, Siemer S
Klinik für Urologie und Kinderurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland.
Klinik für Urologie und Kinderurologie, Universitätskliniken des Saarlandes, Homburg/Saar, Deutschland.
Urologie. 2023 Nov;62(11):1133-1143. doi: 10.1007/s00120-023-02188-0. Epub 2023 Sep 12.
Three-dimensional (3D) reconstruction in renal surgery offers significant benefits in planning of the operation itself, in patient education and training fellows.
The goal was to study the possible application and use of 3D reconstruction in modern renal surgery.
A literature search in PubMed using keywords "3D" and "renal surgery" within the last 10 years of publication was performed.
The search revealed 655 articles among them 53 reviews. Relevant for this article were 120 articles which included 14 reviews. The publication statistics showed a strong increase in the last 10 years which may reflect the increasing application and demand for 3D technology in the field of renal surgery. Especially in robot-assisted minimally invasive surgery applications, the use of 3D technology was studied more often. The technical standards are not yet uniform and 3D printing in complex renal surgery remains cost- and time-intensive. Nevertheless, the results of the pioneering clinical studies showed positive results, and 3D technology can be used not only in planning the operation, but in patient education and also the training of fellows and staff. A limitation to more complex cases seems to be sensible for this is still a costly tool. To identify complex cases in renal surgery, the established renometric scoring systems should be used more broadly in daily practice to identify patients who would profit most from this technique.
In complex renal surgery, 3D reconstruction and modelling is rational; furthermore, it can be useful in patient education and in training of fellows.
肾外科手术中的三维（3D）重建在手术规划本身、患者教育以及住院医师培训方面具有显著优势。
研究3D重建在现代肾外科手术中的可能应用及用途。
在PubMed上使用关键词“3D”和“肾外科手术”对过去10年发表的文献进行检索。
检索到655篇文章，其中53篇为综述。与本文相关的有120篇文章，包括14篇综述。发表统计显示过去10年有显著增长，这可能反映出肾外科领域对3D技术的应用和需求不断增加。特别是在机器人辅助微创手术应用中，对3D技术的使用研究更为频繁。技术标准尚未统一，复杂肾外科手术中的3D打印仍然成本高昂且耗时。然而，开创性临床研究的结果显示出积极成果，3D技术不仅可用于手术规划，还可用于患者教育以及住院医师和工作人员的培训。对于更复杂的病例存在一定限制，因为这仍然是一种昂贵的工具。为了识别肾外科手术中的复杂病例，已建立的肾测量评分系统应在日常实践中更广泛地使用，以确定能从该技术中获益最大的患者。
在复杂肾外科手术中，3D重建和建模是合理的；此外，它在患者教育和住院医师培训中可能有用。
