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机器人辅助部分肾切除术(RAPN)的三维虚拟模型:为评估学习曲线以优化三维成像的精度和准确性而制定的研究方案

Three-Dimensional Virtual Model for Robot-Assisted Partial Nephrectomy (RAPN): Development of Study Protocol for Evaluation of the Learning Curve to Optimize the Precision and Accuracy of the 3D Imaging.

作者信息

Traverso Paolo, Mantica Guglielmo, Giasotto Veronica, Terrone Carlo

机构信息

Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy.

IRCCS Policlinico San Martino, Genova, Italy.

出版信息

Res Rep Urol. 2025 Feb 6;17:27-30. doi: 10.2147/RRU.S503524. eCollection 2025.

DOI:10.2147/RRU.S503524
PMID:39931350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11809357/
Abstract

3D models have been introduced as tools to improve surgeon's precision during Robotic-Assisted Partial Nephrectomy (RAPN). They showed to provide accurate anatomical details, improve operative time and patient safety by reducing complications. Over the last years, several useful models have been developed and proposed. However, literature is still scant regarding if and how the experience of the operator, and the learning curve, may impact the accuracy and precision of the model. In this light, the aim of the study is to evaluate the accuracy, the interpersonal variability of the precision and the learning curve for the segmentation of RAPN 3D preoperative models starting from CT images. This study will identify the influence of operator experience and learning curves on the accuracy of 3D preoperative models in RAPN, optimizing workflows for broader clinical adoption.

摘要

三维模型已被引入作为提高机器人辅助部分肾切除术(RAPN)期间外科医生精准度的工具。它们显示出能提供准确的解剖细节,通过减少并发症来缩短手术时间并提高患者安全性。在过去几年里,已经开发并提出了几种有用的模型。然而,关于操作者的经验以及学习曲线是否以及如何影响模型的准确性和精准度,文献仍然很少。有鉴于此,本研究的目的是从CT图像开始评估RAPN三维术前模型分割的准确性、精准度的人际变异性以及学习曲线。本研究将确定操作者经验和学习曲线对RAPN三维术前模型准确性的影响,优化工作流程以实现更广泛的临床应用。

相似文献

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Three-Dimensional Virtual Model for Robot-Assisted Partial Nephrectomy (RAPN): Development of Study Protocol for Evaluation of the Learning Curve to Optimize the Precision and Accuracy of the 3D Imaging.机器人辅助部分肾切除术(RAPN)的三维虚拟模型:为评估学习曲线以优化三维成像的精度和准确性而制定的研究方案
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引用本文的文献

1
Three-Dimensional Virtual Models in Robot Assisted Partial Nephrectomy: A Needed Tool in the Era of Precision Surgery.机器人辅助部分肾切除术的三维虚拟模型:精准手术时代的必备工具。
Curr Urol Rep. 2025 Aug 8;26(1):60. doi: 10.1007/s11934-025-01288-y.

本文引用的文献

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Innovative 3D method predicts surgery outcomes by calculating real contact surface of renal tumor.创新的3D方法通过计算肾肿瘤的实际接触表面来预测手术结果。
Urol Oncol. 2025 Mar;43(3):192.e11-192.e19. doi: 10.1016/j.urolonc.2024.10.021. Epub 2024 Nov 12.
2
Outcomes and Techniques of Robotic-Assisted Partial Nephrectomy (RAPN) for Renal Hilar Masses: A Comprehensive Systematic Review.肾门部肿块的机器人辅助部分肾切除术(RAPN)的结果与技术:一项全面的系统评价
Cancers (Basel). 2024 Feb 6;16(4):693. doi: 10.3390/cancers16040693.
3
Retzius-Sparing Robotic-Assisted Prostatectomy: Technical Challenges for Surgeons and Key Prospective Refinements.保留精囊的机器人辅助前列腺切除术:外科医生面临的技术挑战及关键的前瞻性改进措施
Res Rep Urol. 2023 Dec 12;15:541-552. doi: 10.2147/RRU.S372803. eCollection 2023.
4
Robot-assisted Surgery in the Field of Urology: The Most Pioneering Approaches 2015-2023.泌尿外科领域的机器人辅助手术:2015 - 2023年最具开创性的方法
Res Rep Urol. 2023 Oct 9;15:453-470. doi: 10.2147/RRU.S386025. eCollection 2023.
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The influence of 3D renal reconstruction on surgical planning for complex renal tumors: An interactive case-based survey.3D 肾脏重建对复杂肾肿瘤手术规划的影响:一项基于交互式病例的调查。
Int Braz J Urol. 2023 May-Jun;49(3):372-382. doi: 10.1590/S1677-5538.IBJU.2022.0623.
6
A Novel Three-dimensional Planning Tool for Selective Clamping During Partial Nephrectomy: Validation of a Perfusion Zone Algorithm.一种用于部分肾切除术选择性夹闭的新型三维规划工具:灌注区算法的验证。
Eur Urol. 2023 May;83(5):413-421. doi: 10.1016/j.eururo.2023.01.003. Epub 2023 Feb 1.
7
The use of individualized 3D-printed models on trainee and patient education, and surgical planning for robotic partial nephrectomies.个性化3D打印模型在学员和患者教育以及机器人辅助部分肾切除术手术规划中的应用。
J Robot Surg. 2023 Apr;17(2):465-472. doi: 10.1007/s11701-022-01441-6. Epub 2022 Jul 4.
8
Clinical implications of 3D printing technology in preoperative evaluation of partial nephrectomy.3D 打印技术在部分肾切除术术前评估中的临床意义。
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022 Mar 28;47(3):328-333. doi: 10.11817/j.issn.1672-7347.2022.210586.
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The fight between PCNL, laparoscopic and robotic pyelolithotomy: do we have a winner? A systematic review and meta-analysis.经皮肾镜碎石术、腹腔镜和机器人肾盂切开取石术的比较:我们有胜利者吗?系统评价和荟萃分析。
Minerva Urol Nephrol. 2022 Apr;74(2):169-177. doi: 10.23736/S2724-6051.21.04587-0. Epub 2022 Feb 11.
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Application of Three-Dimensional Virtual Reality Models to Improve the Pre-Surgical Plan for Robotic Partial Nephrectomy.应用三维虚拟现实模型提高机器人辅助部分肾切除术的术前规划。
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