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

IF 1.4 4区医学 Q4 ENGINEERING, BIOMEDICAL Technology and Health Care Pub Date : 2025-01-01 DOI:10.3233/THC-240421

Han Li, Hui Li, Yiyang Tian, Xiefeng Hu, Xianhui Hu, Xin Qin, Yong Yin

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Abstract

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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腹腔镜肾部分切除术中三维虚拟模型辅助精确导航的临床研究。

背景：腹腔镜肾部分切除术（LPN）是肾肿瘤的标准手术治疗方案。在进行腹腔镜肾部分切除术之前，有必要通过精确成像评估肿瘤情况并制定手术方案：探讨三维虚拟模型（3DVM）在 LPN 中的临床应用价值：方法：对80例接受LPN手术的肾肿瘤患者进行测量。根据手术难度将患者分为三组（A、B、C）。根据术前 3DVM 的应用情况，每组又分为试验组和对照组。对手术安全性和有效性进行了评估，并编制了一份问卷调查患者和医生对 3DVM 的意见：结果：在 A 组和 B 组中，试验组和对照组的 LPN 持续时间和术中肾动脉闭塞时间有显著差异（P< 0.05）。在 C 组中，两组的手术时间、术中肾动脉闭塞时间、住院时间、术后下床活动时间、术中出血量、术后出血发生率均有显著差异（P< 0.05）。患者和医生的问卷评分分析均有统计学意义（P< 0.05）：结论：3DVM 有助于提高 LPN 的安全性和有效性。结论：3DVM 有助于实现更安全、更有效的 LPN，对医生和患者都有好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL

CiteScore

2.10

自引率

6.20%

发文量

282

审稿时长

>12 weeks

期刊介绍： Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).