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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-08-29 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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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