Bazzani Stefano, Puliatti Stefano, Ferretti Stefania, Bianchi Giampaolo, Secchi Cristian, Ferraguti Federica
Department of Sciences and Methods for Engineering, University of Modena and Reggio Emilia, Reggio Emilia, Italy.
Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Commun Eng. 2025 Jul 8;4(1):120. doi: 10.1038/s44172-025-00451-0.
Percutaneous nephrolithotomy (PCNL) is considered the gold standard for treating kidney stones larger than 20 mm. However, the procedure requires high expertise and technical skills, especially for precise and accurate percutaneous access. This paper presents a robotic system designed to enable accurate kidney access by combining 3D anatomical modeling with real-time ultrasound guidance, thereby allowing novice surgeons to gain confidence in performing the initial puncture. A comprehensive validation campaign was conducted in a controlled clinical simulation environment, with experiments performed by both experienced urologists and urology residents. The proposed system improves surgical performance, reduces human error, and makes the procedure more accessible to less experienced clinicians.
经皮肾镜取石术（PCNL）被认为是治疗大于20毫米肾结石的金标准。然而，该手术需要高超的专业知识和技术技能，尤其是精确的经皮穿刺。本文介绍了一种机器人系统，该系统通过将三维解剖建模与实时超声引导相结合，实现精确的肾脏穿刺，从而使新手外科医生在进行初次穿刺时更有信心。在可控的临床模拟环境中开展了全面的验证活动，由经验丰富的泌尿科医生和泌尿外科住院医师进行实验。该系统提高了手术性能，减少了人为误差，并使经验不足的临床医生更容易操作该手术。
