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用于小儿微创手术训练的3D打印合成模型——我们自己的经验及文献综述

3D printed synthetic models for training minimally invasive pediatric surgery - our own experience and literature review.

作者信息

Zahradnikova P, Lindák M, Vitovič P, Laurovičová M, Tvrdoň T, Hnilicová S, Babala J

出版信息

Rozhl Chir. 2025;104(1):11-19. doi: 10.48095/ccrvch202511.

Abstract

Pediatric surgery is a medical specialty focused on the diagnosis, treatment, and postoperative care of children with congenital and acquired anomalies and diseases. The goal of pediatric surgeons is to ensure that children receive the best possible care while minimizing the risks and complications associated with surgical procedures. Contemporary pediatric surgeons face many challenges, including a decline in the number of children with congenital developmental defects, economic pressures, and efforts to increase efficiency, leading to reduced time spent on individual surgeries. This can limit the opportunity for thorough training of young surgeons. These challenges require innovative approaches and continuous improvement in educational and training methods. Minimally invasive surgery has become a significant part of pediatric surgery, offering benefits such as faster recovery, smaller surgical wounds, and lower risk of infection. However, minimally invasive pediatric surgery is technically demanding and requires excellent technical skills. The need to maintain and improve surgical skills demands ongoing training. Current educational methods increasingly rely on simulation technologies to enhance the quality and safety of training without risk to patients. The integration of 3D printing technology and imaging data from CT and MRI scans has opened new possibilities for creating highly realistic simulation models for minimally invasive surgery. These models accurately replicate the environment encountered in procedures like neonatal surgery. In this article, we present our experience with the development and creation of 3D-printed synthetic models designed for training thoracoscopic surgery of esophageal atresia with tracheoesophageal fistula. The aim of this review article is to provide an up-to-date overview of the literature on synthetic 3D-printed models designed for training in minimally invasive pediatric surgery.

摘要

小儿外科是一门专注于诊断、治疗患有先天性和后天性异常及疾病儿童,并提供术后护理的医学专业。小儿外科医生的目标是确保儿童获得尽可能好的护理,同时将与手术相关的风险和并发症降至最低。当代小儿外科医生面临许多挑战,包括先天性发育缺陷儿童数量的减少、经济压力以及提高效率的努力,导致单个手术所花费的时间减少。这可能会限制年轻外科医生接受全面培训的机会。这些挑战需要创新方法以及教育和培训方法的持续改进。微创手术已成为小儿外科的重要组成部分,具有恢复更快、手术伤口更小和感染风险更低等优点。然而,小儿微创手术技术要求高,需要出色的技术技能。维持和提高手术技能需要持续培训。当前的教育方法越来越依赖模拟技术,以提高培训质量和安全性,同时不对患者造成风险。3D打印技术与CT和MRI扫描的成像数据相结合,为创建高度逼真的微创手术模拟模型开辟了新的可能性。这些模型准确地复制了新生儿手术等程序中遇到的环境。在本文中,我们介绍了我们开发和创建用于训练食管闭锁合并气管食管瘘胸腔镜手术的3D打印合成模型的经验。这篇综述文章的目的是提供一份关于用于小儿微创手术培训的合成3D打印模型文献的最新概述。

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