ArticleWorld journal of urology2020
Mechanical and functional validation of a perfused, robot-assisted partial nephrectomy simulation platform using a combination of 3D printing and hydrogel casting.
Article in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Evolving robotic surgery training and improving patient safety, with the integration of novel technologies.World journal of urology · 2021Pooled it
- Review
- Article
- A novel preoperative evaluation technique for partial nephrectomy: three-dimensional extended renal tumor plane.World journal of urology · 2024Article
- Implementation of surgical rehearsal utilizing patient specific hydrogel kidney phantoms prior to complex renal cancer surgery: a pilot study.World journal of urology · 2024Article
- Simulation and Training in Robot-Assisted Urological Surgery: From Model to Patient.Journal of clinical medicine · 2024Review
- Advanced Strategies for the Fabrication of Multi-Material Anatomical Models of Complex Pediatric Oncologic Cases.Bioengineering (Basel, Switzerland) · 2023Article
- Three-Dimensional Printing and Bioprinting in Renal Transplantation and Regenerative Medicine: Current Perspectives.Journal of clinical medicine · 2023Review
- Defining Soft Tissue: Bitmap Printing of Soft Tissue for Surgical Planning.3D printing and additive manufacturing · 2022Article
- Hemorrhaging laparoscopic partial nephrectomy - feasibility of a novel simulation model.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022Article
- How specific are patient-specific simulations? Analyzing the accuracy of 3D-printing and modeling to create patient-specific rehearsals for complex urological procedures.World journal of urology · 2022Article
- Patient-specific, touch-based registration during robotic, image-guided partial nephrectomy.World journal of urology · 2022Review
- Validity of a patient-specific percutaneous nephrolithotomy (PCNL) simulated surgical rehearsal platform: impact on patient and surgical outcomes.World journal of urology · 2022Article
- Construction of a 3D Surgical Model for Minimally Invasive Partial Nephrectomy: the Urotrainer VK-1.Current urology reports · 2021Review
- 3D Printing of Physical Organ Models: Recent Developments and Challenges.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2021Review
- Innovations in Urologic Surgical Training.Current urology reports · 2021Review
- Accuracy of Touch-Based Registration During Robotic Image-Guided Partial Nephrectomy Before and After Tumor Resection in Validated Phantoms.Journal of endourology · 2021Article
- Article
- Robotic surgery for colorectal cancer.Annals of gastroenterological surgery · 2020Review
- The clinical application value of mixed-reality-assisted surgical navigation for laparoscopic nephrectomy.Cancer medicine · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
INTRODUCTION AND
objectivesThere is a scarcity of high-fidelity, life-like, standardized and anatomically correct polymer-based kidney models for robot-assisted partial nephrectomy (RAPN) simulation training. The purpose of this technical report is to present mechanical and functional testing data as evidence for utilizing a perfused hydrogel kidney model created utilizing 3D printed injection casts for RAPN simulation and training.
methodsAnatomically correct, tumor-laden kidney models were created from 3D-printed casts designed from a patient's CT scan and injected with poly-vinyl alcohol (PVA). A variety of testing methods quantified Young's modulus in addition to comparing the functional effects of bleeding and suturing among fresh porcine kidneys and various formulations of PVA kidneys.
results7% PVA at three freeze-thaw cycles (7%-3FT) was found to be the formula that best replicates the mechanical properties of fresh porcine kidney tissue, where mean(± SD) values of Young's modulus of porcine tissue vs 7%-3FT samples were calculated to be 85.97(± 35) kPa vs 80.97(± 9.05) kPa, 15.7(± 1.6) kPa vs 74.56(± 10) kPa and 87.46(± 2.97) kPa vs 83.4(± 0.7) kPa for unconfined compression, indentation and elastography testing, respectively. No significant difference was seen in mean suture tension during renorrhaphy necessary to achieve observable hemostasis and capsular violation during a simulated perfusion at 120 mmHg.
conclusionsThis is the first study to utilize extensive material testing analyses to determine the mechanical and functional properties of a perfused, inanimate simulation platform for RAPN, fabricated using a combination of image segmentation, 3D printing and PVA casting.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.