The application of full-size three-dimensional individual printed model combined with three-dimensional digital demonstration can facilitate patient's preoperative comprehension to robotic-assisted laparoscopic partial nephrectomy.
3D printing
Digital model
Partial nephrectomy
Preoperative comprehension
Reconstruction
Renal tumor
Journal
Perioperative medicine (London, England)
ISSN: 2047-0525
Titre abrégé: Perioper Med (Lond)
Pays: England
ID NLM: 101609072
Informations de publication
Date de publication:
28 Jun 2022
28 Jun 2022
Historique:
received:
25
02
2021
accepted:
11
03
2022
entrez:
27
6
2022
pubmed:
28
6
2022
medline:
28
6
2022
Statut:
epublish
Résumé
In this study, it was aimed to evaluate the feasibility and effectiveness of full-size three-dimensional individual printed model (3D-IPM) based on computerized tomography (CT) reconstruction combined with 3D individual digital models (3D-IDMs) for improving the patient's and their families' comprehension levels of robotic-assisted laparoscopic partial nephrectomy (RALPN) preoperatively. Between January 2020 and January 2021, 37 patients underwent RALPN in our institution. 3D individual digital models (3D-IDMs) were reconstructed based on the data of computerized tomography (CT) scanning and full-size 3D-IPMs were fabricated correspondingly. For each patient and his/her closest accompanying immediate family member (CAIFM) (spouse or son/daughter), two semi-structured conversations were held by using CT films (1st conversation) and 3D-IPM combined with 3D-IDM demonstration (2nd one) respectively. The preoperative levels of comprehension were evaluated quantitatively by using a self-made preoperative comprehending score (PCS) in the patients and CAIFMs. All the fabrications of full-size 3D-IPMs and all the operations were technically successful. The total PCS elevated significantly by presenting 3D-IPM combined with 3D-IDM demonstration compared with CT films (42.5 vs 35.5 in patients, P < 0.001; 42.9 vs 35.8 in CAIFMs, P < 0.001). Sub-PCSs in the evaluating aspects of renal anatomy, mass characteristics, the upcoming RALPN procedure, potential complication risks, and prognosis also showed a uniformed climbing pattern with the assistance of 3D-IPM+3D-IDM. The application of 3D-IPM presentation combined with 3D-IDM demonstration can improve the preoperative comprehension of patient and CAIFM to RALPN with more direct-viewing and verisimilar presentation, and can be used in RALPN patient education for increasing patients' and their families' cognitive empowerment.
Sections du résumé
BACKGROUND
BACKGROUND
In this study, it was aimed to evaluate the feasibility and effectiveness of full-size three-dimensional individual printed model (3D-IPM) based on computerized tomography (CT) reconstruction combined with 3D individual digital models (3D-IDMs) for improving the patient's and their families' comprehension levels of robotic-assisted laparoscopic partial nephrectomy (RALPN) preoperatively.
METHODS
METHODS
Between January 2020 and January 2021, 37 patients underwent RALPN in our institution. 3D individual digital models (3D-IDMs) were reconstructed based on the data of computerized tomography (CT) scanning and full-size 3D-IPMs were fabricated correspondingly. For each patient and his/her closest accompanying immediate family member (CAIFM) (spouse or son/daughter), two semi-structured conversations were held by using CT films (1st conversation) and 3D-IPM combined with 3D-IDM demonstration (2nd one) respectively. The preoperative levels of comprehension were evaluated quantitatively by using a self-made preoperative comprehending score (PCS) in the patients and CAIFMs.
RESULTS
RESULTS
All the fabrications of full-size 3D-IPMs and all the operations were technically successful. The total PCS elevated significantly by presenting 3D-IPM combined with 3D-IDM demonstration compared with CT films (42.5 vs 35.5 in patients, P < 0.001; 42.9 vs 35.8 in CAIFMs, P < 0.001). Sub-PCSs in the evaluating aspects of renal anatomy, mass characteristics, the upcoming RALPN procedure, potential complication risks, and prognosis also showed a uniformed climbing pattern with the assistance of 3D-IPM+3D-IDM.
CONCLUSION
CONCLUSIONS
The application of 3D-IPM presentation combined with 3D-IDM demonstration can improve the preoperative comprehension of patient and CAIFM to RALPN with more direct-viewing and verisimilar presentation, and can be used in RALPN patient education for increasing patients' and their families' cognitive empowerment.
Identifiants
pubmed: 35761307
doi: 10.1186/s13741-022-00256-1
pii: 10.1186/s13741-022-00256-1
pmc: PMC9238097
doi:
Types de publication
Journal Article
Langues
eng
Pagination
22Subventions
Organisme : Research Project Supported by Shanxi Scholarship Council of China
ID : HGKY2019097 & HGKY2019096
Organisme : Scientific Activities of Selected Returned Overseas Professionals in Shanxi Province
ID : [2018]-1059-6
Organisme : Shanxi Provincial Basic Applied Research Project
ID : 201801D121331
Informations de copyright
© 2022. The Author(s).
Références
CA Cancer J Clin. 2020 Jan;70(1):7-30
pubmed: 31912902
World J Urol. 2016 Mar;34(3):337-45
pubmed: 26162845
Dis Colon Rectum. 2006 Oct;49(10):1517-26
pubmed: 17001440
Urology. 2016 May;91:226-33
pubmed: 26919965
World J Urol. 2016 Apr;34(4):533-7
pubmed: 25841361
J Natl Cancer Inst. 2006 Sep 20;98(18):1331-4
pubmed: 16985252
Curr Opin Urol. 2007 Sep;17(5):303-8
pubmed: 17762621
Urology. 2014 Aug;84(2):268-72
pubmed: 24962843
J Radiat Res. 2012 Nov 1;53(6):973-7
pubmed: 22859564
Curr Urol Rep. 2016 Jun;17(6):43
pubmed: 27021911
Int J Comput Assist Radiol Surg. 2015 Sep;10(9):1461-8
pubmed: 25577366
Eur Urol. 2013 Jun;63(6):1072-81
pubmed: 23116655