Impact of Three-dimensional Printing in Urology: State of the Art and Future Perspectives. A Systematic Review by ESUT-YAUWP Group

Cacciamani, Giovanni; Okhunov, Zhamshid; Meneses, Aurus Dourado; Rodríguez-Socarrás, Moisés; Rivas, Juan Gómez; Porpiglia, Francesco; Liatsikos, Evangelos; Veneziano, Domenico

doi:10.1016/j.eururo.2019.04.044

Cited by 76 publications

(50 citation statements)

References 61 publications

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“…reviews (74,75) provide a comprehensive exploration of published applications with expanded analyses of setup and manufacturing costs. However, we provide a more contemporary literature search and as a mini-review, a rapidly accessible outline of both the promising existing evidence and shortcomings in linking this to an improved service; Does elevating patient understanding reduce anxiety and litigation or improve recovery?…”

Section: Patient-specific Prostheses and Bioprintingmentioning

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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Section: Patient-specific Prostheses and Bioprintingmentioning

confidence: 99%

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

2020

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“…Recently, three-dimensional (3D) printing techniques have attracted attention in the field of personalised medicine [7]. The impact of 3D-printed organ models for surgical planning, education, and patient counselling are also rapidly growing in the field of urology [8][9][10]. In a recent systematic review by the European Association of Urology Section of Uro-Technology (ESUT)-Young Academic Urologists Working Party (YAUWP) Group, the role of 3D-printed organ models in surgical planning, training, education, patient counselling, as well as the associated costs in the urological field were described [10].…”

Section: Introductionmentioning

confidence: 99%

“…The impact of 3D-printed organ models for surgical planning, education, and patient counselling are also rapidly growing in the field of urology [8][9][10]. In a recent systematic review by the European Association of Urology Section of Uro-Technology (ESUT)-Young Academic Urologists Working Party (YAUWP) Group, the role of 3D-printed organ models in surgical planning, training, education, patient counselling, as well as the associated costs in the urological field were described [10]. The authors concluded that the 3D-printed model is expected to show 'revolutionary potential' in all of the areas described above, even with limitations in cost and production times.…”

Section: Introductionmentioning

confidence: 99%

Personalised three‐dimensional printed transparent kidney model for robot‐assisted partial nephrectomy in patients with complex renal tumours (R.E.N.A.L. nephrometry score ≥7): a prospective case‐matched study

et al. 2020

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To evaluate the effectiveness of a three-dimensional (3D) printed transparent kidney model as a surgical navigator for robot-assisted partial nephrectomy (RPN) in patients with complex renal tumours, defined by a R.E.N.A.L. (Radius, Exophytic/Endophytic, Nearness, Anterior/Posterior, Location) nephrometry score of ≥7. Patients and MethodsA total of 80 patients who underwent RPN were included in the present prospective case-matched study (case group [n = 40, application of 3D-printed transparent kidney model during RPN] vs matching group [n = 40, routine protocol]). The RPNs were performed by a single experienced surgeon. The RPN procedure consisted of six steps: (i) preparation of the renal hilar vessel for clamping, (ii) tumour detection and dissection, (iii) robotic ultrasonography, (iv) tumour resection, (v) calyx repair and haemostasis, and (vi) renorrhaphy. The time for each step, console time, and warm ischaemia time were compared between the two groups as a surrogate marker for surgical effectiveness. ResultsBoth groups were well-balanced for all baseline characteristics. The use of the model reduced the console time by~20% compared to the matched group (64.6 vs 78.5 min, P = 0.001). On multivariate logistic regression analysis, tumour radius (P < 0.001) and application of the model (P = 0.009) were identified as significant predictors of a console time of ≤70 min. ConclusionWe established the usefulness of a personalised 3D-printed transparent kidney model for more effective RPNs. Use of the 3D-printed transparent kidney model reduced the operative time even for complex renal tumours and would be expected to broaden the indications for PN.

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“…Three-dimensional (3D) printing is a technology that allows the creation of complex structures in a layer by layer fashion which was first developed in 1986 but is increasingly being explored in the field of medicine, including urology 1,2 . 3D printed prostate cancer models have shown two potential areas of usefulness: for patient education and surgical planning.…”

mentioning

confidence: 99%

Multi-colour extrusion fused deposition modelling: a low-cost 3D printing method for anatomical prostate cancer models

Chen

Skewes

Woodruff

et al. 2020

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Three-dimensional (3D) printed prostate cancer models are an emerging adjunct for urological surgical planning and patient education, however published methods are costly which limits their translation into clinical practice. Multi-colour extrusion fused deposition modelling (FDM) can be used to create 3D prostate cancer models of a quality comparable to more expensive techniques at a fraction of the cost. Three different 3D printing methods were used to create the same 3D prostate model: FDM, colour jet printing (CJP) and material jetting (MJ), with a calculated cost per model of USD 20, USD 200 and USD 250 respectively. When taking into account the cost, the FDM prostate models are the most preferred 3D printing method by surgeons. This method could be used to manufacture low-cost 3D printed models across other medical disciplines.

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Impact of Three-dimensional Printing in Urology: State of the Art and Future Perspectives. A Systematic Review by ESUT-YAUWP Group

Cited by 76 publications

References 61 publications

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

Personalised three‐dimensional printed transparent kidney model for robot‐assisted partial nephrectomy in patients with complex renal tumours (R.E.N.A.L. nephrometry score ≥7): a prospective case‐matched study

Multi-colour extrusion fused deposition modelling: a low-cost 3D printing method for anatomical prostate cancer models

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