Three-D-printed simulator for kidney transplantation

Peri, Andrea; Marconi, Stefania; Gallo, Virginia; Mauri, Valeria; Negrello, Erika; Abelli, Massimo; Ticozzelli, Elena; Caserini, Ottavia; Pugliese, Luigi; Auricchio, Ferdinando; Pietrabissa, Andrea

doi:10.1007/s00464-021-08788-1

Cited by 6 publications

(8 citation statements)

References 22 publications

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“…They described two cases in which surgeons used these models for pre-operative surgical simulation prior to operating on the patients. Peri et al also developed a similar 3-D printed simulation platform with replicas of donor grafts and recipient pelvic cavities for kidney transplantation [ 28 ]. Two junior trainees practiced 30 anastomoses using this model.…”

Section: Resultsmentioning

confidence: 99%

Technical skills simulation in transplant surgery: a systematic review

Patnaik

Khan

et al. 2022

Global Surg Educ

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Purpose Transplant surgery is a demanding field in which the technical skills of the surgeon correlates with patient outcomes. As such, there is potential for simulation-based training to play an important role in technical skill acquisition. This study provides a systematic assessment of the current literature regarding the use of simulation to improve surgeon technical skills in transplantation. Methods Data were collected by performing an electronic search of the PubMed and Scopus database for articles describing simulation in transplant surgery. The abstracts were screened using the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. Three reviewers analyzed 172 abstracts and agreed upon articles that met the inclusion criteria for the systematic review. Results Simulators can be categorized into virtual reality simulators, cadaveric models, animal models (animate or inanimate) and synthetic physical models. No virtual reality simulators in transplant surgery are described in the literature. Three cadaveric models, seven animal models and eight synthetic physical models specific to transplant surgery are described. A total of 18 publications focusing on technical skills simulation in kidney, liver, lung, pancreas, and cardiac transplantation were found with the majority focusing on kidney transplantation. Conclusions This systematic review identifies currently reported simulation models in transplant surgery. This will serve as a reference for general surgery and transplant surgery professionals interested in using simulation to enhance their technical skills.

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Section: Resultsmentioning

confidence: 99%

Technical skills simulation in transplant surgery: a systematic review

Patnaik

Khan

et al. 2022

Global Surg Educ

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“…This surgery involves the anastomosis between donor renal arteries and veins and receivers’ iliac vessels. A complete 3DP simulation platform for kidney transplantation procedure has been used in this case [3]; all the involved anatomical structures were reconstructed from CT images of average adult patients, in order to perfectly reproduce the real morphology of the pelvic area (Figure 17).…”

Section: Discussionmentioning

confidence: 99%

“…It is anyway not recommended to use Standard/Heavy Support for the inner lumen support in very subtle vessels (0.7 −1 mm) with caliper > 5 mm, especially if they have a long extension as in the iliac vessels here used for the simulation (Figure 18). It should be noted that the same set of anatomical models was previously produced for the tests described in [3] using a combination of Agilus30 and VeroMagenta/VeroCyan. In that case, several delaminations of the models occurred during the cleaning.…”

Section: Discussionmentioning

confidence: 99%

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750^™ Digital Anatomy^™ for Suture Simulation

Marconi

Mauri

Negrello

et al. 2022

Preprint

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Blood vessels anastomosis is one of the most challenging and delicate tasks to learn in many surgical specialties, especially for vascular and abdominal surgeons. Such a critical skill implies a learning curve that goes beyond technical execution. The surgeon needs to gain proficiency in adapting gestures and the amount of force expressed according to the type of tissue he/she is dealing with. In this context, surgical simulation is gaining a pivotal role in the training of surgeons, but currently available simulators can provide only standard or simplified anatomies, without the chance of presenting specific pathological conditions and rare cases. 3D printing technology, allowing the manufacturing of extremely complex geometries, find a perfect application in the production of realistic replica of patient-specific anatomies. According to available technologies and materials, morphological aspects can be easily handled, while the reproduction of tissues mechanical properties still poses major problems, especially when dealing with soft tissues. The present work focuses on blood vessels, with the aim of identifying – by means of both qualitative and quantitative tests – materials combinations able to best mimic the behavior of the biological tissue during anastomoses, by means of J750™ Digital Anatomy™ technology and commercial photopolymers from Stratasys. Puncture tests and stitch traction tests are used to quantify the performance of the various formulations. Surgical simulations involving anastomoses are performed on selected clinical cases by surgeons to validate the results. A total of 37 experimental materials were tested and 2 formulations were identified as the most promising solutions to be used for anastomoses simulation. Clinical applicative tests, specifically selected to challenge the new materials, raised additional issues on the performance of the materials to be considered for future developments.

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“…The use of 3D printing technology to create living membranes and active kidney tissue for renal tubular function is a major breakthrough in the field of biomedical engineering. [30,31] It includes bioprinting a nephron that mimics the physiological glomerular filtration functions to realize a mini-human kidney. However, various complex issues involved in the kidney printing process (such as printing fineness, whether bioactive substances can be printed, etc.)…”

Section: D-printed Artificial Kidneymentioning

confidence: 99%

Wearable Artificial Kidneys: The First Choice for Portable Renal Replacement Therapy

Yang,

2024

Integr Med Nephrol Androl

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Three-D-printed simulator for kidney transplantation

Cited by 6 publications

References 22 publications

Technical skills simulation in transplant surgery: a systematic review

Technical skills simulation in transplant surgery: a systematic review

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750^™ Digital Anatomy^™ for Suture Simulation

Wearable Artificial Kidneys: The First Choice for Portable Renal Replacement Therapy

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Three-D-printed simulator for kidney transplantation

Cited by 6 publications

References 22 publications

Technical skills simulation in transplant surgery: a systematic review

Technical skills simulation in transplant surgery: a systematic review

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750™ Digital Anatomy™ for Suture Simulation

Wearable Artificial Kidneys: The First Choice for Portable Renal Replacement Therapy

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Product

Resources

About

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750^™ Digital Anatomy^™ for Suture Simulation