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Three-dimensional printing for laparoscopic partial nephrectomy in patients with renal tumors

OBJECTIVES: To explore the efficacy of three-dimensional printing physical model-assisted laparoscopic partial nephrectomy (3D-LPN) in patients with renal tumors. METHODS: We retrospectively assessed all patients who underwent LPN with or without 3D-printed physical model assistance from January 201...

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Detalles Bibliográficos
Autores principales: Fan, Gang, Meng, Yanbin, Zhu, Shuai, Ye, Mingji, Li, Mingfeng, Li, Feiping, Ye, Yuanchun, Liu, Zhizhong, Weiqin, Han, Xie, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753553/
https://www.ncbi.nlm.nih.gov/pubmed/31327282
http://dx.doi.org/10.1177/0300060519862058
Descripción
Sumario:OBJECTIVES: To explore the efficacy of three-dimensional printing physical model-assisted laparoscopic partial nephrectomy (3D-LPN) in patients with renal tumors. METHODS: We retrospectively assessed all patients who underwent LPN with or without 3D-printed physical model assistance from January 2016 to February 2018 at our institution. The demographic characteristics, operative findings, and clinical outcomes from the procedure were collected and analyzed. RESULTS: Sixty-nine patients underwent 3D-LPN and 58 underwent traditional LPN. The groups showed no differences in demographics, RENAL score, surgical approach, operative time, estimated intra-/postoperative blood loss, increased creatinine level, or complications. In the 3D-LPN group, warm ischemia time was shorter, whereas surgery waiting time was longer, compared with those parameters in the LPN group. Subgroup analysis indicated that for patients with RENAL score ≥8, the 3D-LPN group had significantly shorter warm ischemic time and less intraoperative blood loss than the traditional LPN group. Intra- and postoperative hospital complication rates were similar for 3D-LPN and traditional LPN groups (8.7% vs. 13.7%). CONCLUSIONS: 3D printing provides an additional tool to assist with LPN. Use of a 3D model can assist in planning and performance of LPN in patients with RENAL score ≥8.