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通过机器人辅助根治性前列腺切除术的 3D 模型减少手术并发症:当前证据的回顾和荟萃分析。

Reduction of surgical complications via 3D models during robotic assisted radical prostatectomy: review of current evidence and meta-analysis.

机构信息

Department of Urology, Guy's Hospital, London, UK.

School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

出版信息

J Robot Surg. 2024 Aug 6;18(1):304. doi: 10.1007/s11701-024-02041-2.

DOI:10.1007/s11701-024-02041-2
PMID:39105931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11303509/
Abstract

The use of 3-dimensional (3D) technology has become increasingly popular across different surgical specialities to improve surgical outcomes. 3D technology has the potential to be applied to robotic assisted radical prostatectomy to visualise the patient's prostate anatomy to be used as a preoperative and peri operative surgical guide. This literature review aims to analyse all relevant pre-existing research on this topic. Following PRISMA guidelines, a search was carried out on PubMed, Medline, and Scopus. A total of seven studies were included in this literature review; two of which used printed-3D models and the remaining five using virtual augmented reality (AR) 3D models. Results displayed variation with select studies presenting that the use of 3D models enhances surgical outcomes and reduces complications whilst others displayed conflicting evidence. The use of 3D modelling within surgery has potential to improve various areas. This includes the potential surgical outcomes, including complication rates, due to improved planning and education.

摘要

3D 技术在不同外科专业领域的应用越来越广泛,以改善手术效果。3D 技术有可能应用于机器人辅助根治性前列腺切除术,以可视化患者的前列腺解剖结构,作为术前和围手术期的手术指南。本文献综述旨在分析该主题所有相关的现有研究。根据 PRISMA 指南,在 PubMed、Medline 和 Scopus 上进行了搜索。这项文献综述共纳入了 7 项研究;其中两项使用了打印 3D 模型,其余五项使用了虚拟增强现实 (AR) 3D 模型。研究结果显示出差异,一些研究表明 3D 模型的使用提高了手术效果并减少了并发症,而其他研究则显示出相互矛盾的证据。在手术中使用 3D 建模有可能改善多个领域。这包括由于更好的规划和教育而提高手术效果的潜力,包括降低并发症发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac09/11303509/fbfa71b94f4d/11701_2024_2041_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac09/11303509/1ea9331cbc60/11701_2024_2041_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac09/11303509/fbfa71b94f4d/11701_2024_2041_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac09/11303509/1ea9331cbc60/11701_2024_2041_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac09/11303509/fbfa71b94f4d/11701_2024_2041_Fig2_HTML.jpg

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Curr Oncol. 2022 Dec 22;30(1):110-117. doi: 10.3390/curroncol30010009.
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