Development and Validity of a Silicone Renal Tumor Model for Robotic Partial Nephrectomy Training

Monda, Steven; Weese, Jonathan; Anderson, Barrett G.; Vetter, Joel; Venkatesh, Ramakrishna; Du, Kefu; Andriole, Gerald L.; Figenshau, R. Sherburne

doi:10.1016/j.urology.2018.01.030

Cited by 40 publications

(65 citation statements)

References 26 publications

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“…Of 27 studies, 18 utilised CT datasets to construct the 3D-printed models [6,7,9,10,11,12,15,16,17,18,20,21,22,23,24,25,30,31], while five utilised MRI datasets [5,8,19,26,29], and 4 utilised a combination of both imaging modalities [13,14,27,28].…”

Section: Resultsmentioning

confidence: 99%

“…Out of the 27 studies reviewed, 22 endorsed a qualitative assessment of 3D-printed kidney models, regarding the usefulness of the models and their applications in areas including pre-operative planning and education [5,6,7,8,9,10,11,12,13,14,15,16,18,20,21,22,24,25,26,27,28,31]. Three studies performed a quantitative assessment of 3D-printed kidney models by comparing them to the original datasets from which they were retrieved [17,29,30], and two studies encompassed both a qualitative and quantitative analysis of 3D-printed kidney models [19,23].…”

Section: Resultsmentioning

confidence: 99%

“…Different studies have explored the feasibility of creating patient-specific, 3D-printed kidney models for applications including education and pre-surgical planning of complex cases of renal disease, due to the ability of 3D models to superiorly encapsulate anatomic spatial relationships [3,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]. Whilst conventional volumetric imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI) are the commonly used imaging modalities for guiding pre-operative planning decisions, they are limited to viewing on a two-dimensional (2D) monitor and therefor lack the ability to demonstrate tumour depth-perception.…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review of the Clinical Value and Applications of Three-Dimensional Printing in Renal Surgery

Lupulescu

Sun

2019

JCM

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The purpose of this systematic review is to collate and analyse the current literature which examines clinical applications of 3D printing for renal disease, alongside cost and time duration factors associated with the printing process. A comprehensive search of the literature was performed across five different databases to identify studies that qualitatively and quantitatively assessed the value of 3D-printed kidney models for renal disease. Twenty-seven studies met the selection criteria for inclusion in the review. Twenty-five were original studies, and two were case reports. Of the 22 studies reporting a qualitative evaluation, the analysis of findings demonstrated the value of the 3D-printed models in areas of clinician and patient education, and pre-surgical simulation for complex cases of renal disease. Of five studies performing a quantitative analysis, the analysis of results displayed a high level of spatial and anatomical accuracy amongst models, with benefits including reducing estimated blood loss and risk of intra-operative complications. Fourteen studies evaluated manufacturing costs and time duration, with costs ranging from USD 1 to 1000 per model, and time duration ranging from 15 min to 9 days. This review shows that the use of customised 3D-printed models is valuable in the education of junior surgeons as well as the enhancement of operative skills for senior surgeons due to a superior visualisation of anatomical networks and pathologic morphology compared to volumetric imaging alone. Furthermore, 3D-printed kidney models may facilitate interdisciplinary communication and decision-making regarding the management of patients undergoing operative treatment for renal disease. It cannot be suggested that a more expensive material constitutes a higher level of user-satisfaction and model accuracy. However, higher costs in the manufacturing of the 3D-printed models reported, on average, a slightly shorter time duration for the 3D-printing process and total manufacturing time.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Systematic Review of the Clinical Value and Applications of Three-Dimensional Printing in Renal Surgery

Lupulescu

Sun

2019

JCM

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“…Pinto reported an observed improvement in residents microsurgical suture time and quality on a vasectomy reversal model produced via 3D-printing (41). However, as Monda et al commented in their paper on partial nephrectomy simulation, future studies need to establish that improved performance on simulation models is associated with improvements in live surgery (42). Simulation presents a reproducible and uniform means to assess trainee performance both subjectively and with quantitative metrics.…”

Section: Surgical Trainingmentioning

confidence: 99%

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

2020

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Three-dimensional (3D) printing allows rapid prototyping of novel equipment as well as the translation of medical imaging into tangible replicas of patient-specific anatomy. The technology has emerged as a versatile medium for innovation in medicine but with ever-expanding potential uses, does 3D printing represent a valuable adjunct to urological practice? We present a concise systematic review of articles on 3D printing within urology, outlining proposed benefits and the limitations in evidence supporting its utility. We review publications prior to December 2019 using guidelines outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Of 117 identified articles, 67 are included highlighting key areas of research as the use of patient-specific models for patient education, surgical planning, and surgical training. Further novel applications included printed surgical tools, patient-specific surgical guides, and bioprinting of graft tissues. We conclude to justify its adoption within standard practice, further research is required demonstrating that use of 3D printing can produce; direct and measurable improvements in patient experience, consistent evidence of superior surgical outcomes or simulation which surpasses existing means' both in fidelity and enhancement of surgical skills. Although exploration of 3D printing's urological applications remains nascent, the seemingly limitless scope for innovation and collaborative design afforded by the technology presents undeniable value as a resource and assures a place at the forefront of future advances.

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“…Within urology, 3D printed models have previously been used for simulation, education and surgical planning. 3D models have been particularly useful for surgical training such as practicing urethrovesical anastomosis and partial nephrectomy [15][16][17]. Moreover, 3D printing may become an adjunct for prostate biopsy planning [18].…”

Section: Plos Onementioning

confidence: 99%

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Development and Validity of a Silicone Renal Tumor Model for Robotic Partial Nephrectomy Training

Cited by 40 publications

References 26 publications

A Systematic Review of the Clinical Value and Applications of Three-Dimensional Printing in Renal Surgery

A Systematic Review of the Clinical Value and Applications of Three-Dimensional Printing in Renal Surgery

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

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