Rapid prototyping model for percutaneous nephrolithotomy training
Rapid prototyping model for percutaneous nephrolithotomy training
复制标题
DOI：
10.1089/end.2007.0025
复制
发表时间：
2008-01-01
影响因子：
2.7
通讯作者：
Lermusiaux, Patrick
中科院分区：
文献类型：
--
作者：
Bruyere, Franck;Leroux, Cecile;Lermusiaux, Patrick
目的：快速原型是一种用于创建三维计算机图像的技术，比经典技术更有效。经皮肾镜取石术（PCNL）是去除肾结石的常用方法;然而，与穿刺肾盏相关的发病率（出血、气胸、胸腔积液、意外结肠损伤）阻碍了泌尿外科界更广泛的使用。一个培训模型，以提高技术和肾脏解剖的理解，可以改善并发症相关的肾穿刺，但是，目前没有模型存在的居民training.Materials和方法：我们创建了一个培训模型，使用快速原型技术的基础上，腹部CT图像的患者计划接受PCNL。这使我们的工作人员和居民在进行手术前能够对模型进行培训。该模型允许预期的特定困难固有的病人的anatomic.Results：培训后，该程序进行无并发症，病人出院后第1天没有问题。结论：我们假设，快速原型设计可以是有用的住院医师教育，允许创建大量的模型的研究和手术培训。此外，我们预计经验丰富的泌尿科医生可以发现这项技术有助于准备困难的PCNL手术。
Purpose: Rapid prototyping is a technique used for creating computer images in three dimensions more efficiently than classic techniques. Percutaneous nephrolithotomy (PCNL) is a popular method to remove kidney stones; however, broader use by the urologic community has been hampered by the morbidity associated with needle puncture to gain access to the renal calix (bleeding, pneumothorax, hydrothorax, inadvertent colon injury). A training model to improve technique and understanding of renal anatomy could improve complications related to renal puncture; however, no model currently exists for resident training.Materials and Methods: We created a training model using the rapid prototyping technique based on abdominal CT images of a patient scheduled to undergo PCNL. This allowed our staff and residents to train on the model before performing the operation. This model allowed anticipation of particular difficulties inherent to the patient's anatomy.Results: After training, the procedure proceeded without complication, and the patient was discharged at postoperative day 1 without problems.Conclusions: We hypothesize that rapid prototyping could be useful for resident education, allowing the creation of numerous models for research and surgical training. In addition, we anticipate that experienced urologists could find this technique helpful in preparation for difficult PCNL operations.