Three-dimensional printing for laparoscopic partial nephrectomy in patients with renal tumors.

J Int Med Res

Department of Urology, Affiliated Cancer Hospital of Xiangya School of Medicine of Central South University, Hunan Cancer Hospital, Changsha, China.

Published: September 2019

AI Article Synopsis

  • * Researchers analyzed data from 127 patients who either had 3D-LPN or traditional LPN, finding no significant differences in demographics and major outcomes.
  • * However, patients with higher RENAL scores (≥8) who underwent 3D-LPN experienced shorter warm ischemia times and less blood loss, suggesting that 3D modeling may enhance surgical planning for complex cases.

Article Abstract

Objectives: To explore the efficacy of three-dimensional printing physical model-assisted laparoscopic partial nephrectomy (3D-LPN) in patients with renal tumors.

Methods: We retrospectively assessed all patients who underwent LPN with or without 3D-printed physical model assistance from January 2016 to February 2018 at our institution. The demographic characteristics, operative findings, and clinical outcomes from the procedure were collected and analyzed.

Results: Sixty-nine patients underwent 3D-LPN and 58 underwent traditional LPN. The groups showed no differences in demographics, RENAL score, surgical approach, operative time, estimated intra-/postoperative blood loss, increased creatinine level, or complications. In the 3D-LPN group, warm ischemia time was shorter, whereas surgery waiting time was longer, compared with those parameters in the LPN group. Subgroup analysis indicated that for patients with RENAL score ≥8, the 3D-LPN group had significantly shorter warm ischemic time and less intraoperative blood loss than the traditional LPN group. Intra- and postoperative hospital complication rates were similar for 3D-LPN and traditional LPN groups (8.7% vs. 13.7%).

Conclusions: 3D printing provides an additional tool to assist with LPN. Use of a 3D model can assist in planning and performance of LPN in patients with RENAL score ≥8.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753553PMC
http://dx.doi.org/10.1177/0300060519862058DOI Listing

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