Evidence map›Paper›PMID 34097158›Full record

Article3D printing in medicine2021

Introducing 3D printed models of the upper urinary tract for high-fidelity simulation of retrograde intrarenal surgery.

Luca Orecchia, Diego Manfrin, Stefano Germani, Dario Del Fabbro, Anastasios D Asimakopoulos, Enrico Finazzi Agrò, Roberto Miano

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in 3D printing in medicine, 2021. 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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  11. Correction to Acknowledgement.3D printing in medicine · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Luca OrecchiaUrology Unit, Policlinico Tor Vergata Foundation, Viale Oxford 81, 00133, Rome, Italy. luca.orecchia@hotmail.com.ORCID http://orcid.org/0000-0001-8376-5380
Diego ManfrinMedics3D S.r.L, Moncalieri, Italy.
Stefano GermaniUrology Unit, Policlinico Tor Vergata Foundation, Viale Oxford 81, 00133, Rome, Italy.
Dario Del FabbroDivision of Urology, San Giovanni Bosco Hospital, Turin, Italy.
Anastasios D AsimakopoulosUrology Unit, Policlinico Tor Vergata Foundation, Viale Oxford 81, 00133, Rome, Italy.
Enrico Finazzi AgròUrology Unit, Policlinico Tor Vergata Foundation, Viale Oxford 81, 00133, Rome, Italy.
Roberto MianoUrology Unit, Policlinico Tor Vergata Foundation, Viale Oxford 81, 00133, Rome, Italy.
Policlinico Tor Vergata · ITUniversity of Rome Tor Vergata · ITOspedale San Giovanni Bosco · IT

Funding

Medics3D, Moncalieri, italy Medics3D, Moncalieri, italy
6 · The paper itself

Abstract

purposeTraining in retrograde intrarenal surgery for the treatment of renal stone disease is a challenging task due to the unique complexity of the procedure. This study introduces a series of 3D printed models of upper urinary tract and stones designed to improve the training process.

methodsSix different models of upper urinary tract were algorithmically isolated, digitally optimized and 3D printed from real-life cases. Soft and hard stones in different sizes were produced from 3D printed moulds. The models were fitted onto a commercially available part-task trainer and tested for retrograde intrarenal surgery.

resultsEach step of the procedure was simulated with extraordinary resemblance to real-life cases. The unique anatomical intricacy of each model and type of stones allowed us to reproduce surgeries of increasing difficulty. As the case-load required to achieve proficiency in retrograde intrarenal surgery is high, benchtop simulation could be integrated in training programs to reach good outcomes and low complication rates faster. Our models match incredible anatomical resemblance with low production cost and high reusability. Validation studies and objective skills assessment during simulations would allow comparison with other available benchtop trainers and the design of stepwise training programs.

conclusions3D printing is gaining a significant importance in surgical training. Our 3D printed models of the upper urinary tract might represent a risk-free training option to hasten the achievement of proficiency in endourology.

Indexed as

3DAnatomyKidneyLithotripsyRIRSSimulationTrainingUreteroscopyUrology

Identifiers

PMID34097158
PMCPMC8182943
OpenAlexW3172737107

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.