The role of three-dimensional models in preoperative communication and postoperative management of partial nephrectomy

Tang, Gonglin; Liu, Hongquan; Yao, Huibao; Wang, Di; Sun, Fengze; Bao, Xingjun; Zhou, Zhongbao; Wang, Jipeng; Wu, Jitao

doi:10.1016/j.apjon.2023.100222

Cited by 2 publications

(1 citation statement)

References 31 publications

(40 reference statements)

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“…This is in contrast with literature findings, in which several authors demonstrated that 3D models can be useful to make the patient understand the challenges of the intervention and improve their compliance, especially the elderly [17,19,[41][42][43]. Beyond the relief of presurgical anxiety, 3D models were also found to be able to improve follow-up adherence at 3 years, preventing serious postoperative non-cancer-related complications [44]. Some further considerations may arise.…”

Section: Discussionmentioning

confidence: 58%

Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey

Sighinolfi,

Menezes,

Patel

et al. 2023

JPM

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Despite the arising interest in three-dimensional (3D) reconstruction models from 2D imaging, their diffusion and perception among urologists have been scarcely explored. The aim of the study is to report the results of an international survey investigating the use of such tools among urologists of different backgrounds and origins. Beyond demographics, the survey explored the degree to which 3D models are perceived to improve surgical outcomes, the procedures mostly making use of them, the settings in which those tools are mostly applied, the surgical steps benefiting from 3D reconstructions and future perspectives of improvement. One hundred responders fully completed the survey. All levels of expertise were allowed; more than half (53%) were first surgeons, and 59% had already completed their training. Their main application was partial nephrectomy (85%), followed by radical nephrectomy and radical prostatectomy. Three-dimensional models are mostly used for preoperative planning (75%), intraoperative consultation and tailoring. More than half recognized that 3D models may highly improve surgical outcomes. Despite their recognized usefulness, 77% of responders use 3D models in less than 25% of their major operations due to costs or the extra time taken to perform the reconstruction. Technical improvements and a higher availability of the 3D models will further increase their role in surgical and clinical daily practice.

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Section: Discussionmentioning

confidence: 58%

Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey

Sighinolfi,

Menezes,

Patel

et al. 2023

JPM

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A clinical study on 3D virtual model-assisted precise navigation for laparoscopic partial nephrectomy

Li,

Tian

et al. 2024

THC

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BACKGROUND: Laparoscopic partial nephrectomy (LPN) is a standard surgical treatment option for renal tumors. Prior to LPN, it is necessary to evaluate the tumor condition and develop a surgical plan using precise imaging. OBJECTIVE: To explore the clinical application value of 3D virtual model (3DVM) in LPN. METHODS: A total of 80 patients with renal tumor who underwent LPN were measured. Patients were divided into three cohorts (A, B, C) according to the difficulty of surgery. Each group was further divided into the test and control groups based on the application of preoperative 3DVM. Surgical safety and efficacy were assessed, and a questionnaire was developed to investigate the opinions of patients and physicians on 3DVM. RESULTS: The duration of LPN and intraoperative renal artery occlusion were significantly different between the test and control groups in both cohorts A and B (P< 0.05). In cohort C, the surgical duration, duration of intraoperative renal artery occlusion, length of stay, time to postoperative ambulation, intraoperative bleeding, incidence of postoperative bleeding were significantly between the two groups (P< 0.05). The analysis both of patients and physicians questionnaire scores were statistically significant (P< 0.05). CONCLUSIONS: 3DVM contributes to safer and more effective LPN. It benefits both doctors and patients.

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The role of three-dimensional models in preoperative communication and postoperative management of partial nephrectomy

Cited by 2 publications

References 31 publications

Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey

Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey

A clinical study on 3D virtual model-assisted precise navigation for laparoscopic partial nephrectomy

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