Impact of Three-dimensional Printing in Urology: State of the Art and Future Perspectives. A Systematic Review by ESUT-YAUWP Group.

Autor: Cacciamani GE; USC Urology Institute, University of Southern California, Los Angeles, CA, USA; Uro-technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands. Electronic address: giovanni.cacciamani@med.usc.edu., Okhunov Z; Uro-technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands; Department of Urology, University of California, Irvine, CA, USA., Meneses AD; Uro-technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands; Department of Urology, Camargo Cancer Center, Sao Paulo, Brazil., Rodriguez-Socarras ME; Uro-technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands; Department of Urology, San Raffaele Hospital, Milan, Italy., Rivas JG; Uro-technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands; Department of Urology, Hospital Universitario la Paz, Madrid, Spain., Porpiglia F; Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy., Liatsikos E; Department of Urology, University of Patras, Patras, Greece., Veneziano D; Uro-technology and SoMe Working Group of the Young Academic Urologists (YAU) Working Party of the European Association of Urology (EAU), Arnhem, The Netherlands; Department of Urology and Renal Transplantation, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Jazyk: angličtina
Zdroj: European urology [Eur Urol] 2019 Aug; Vol. 76 (2), pp. 209-221. Date of Electronic Publication: 2019 May 18.
DOI: 10.1016/j.eururo.2019.04.044
Abstrakt: Context: Three-dimensional (3D) printing has profoundly impacted biomedicine. It has been used to pattern cells; replicate tissues or full organs; create surgical replicas for planning, counseling, and training; and build medical device prototypes and prosthetics, and in numerous other applications.
Objective: To assess the impact of 3D printing for surgical planning, training and education, patient counseling, and costs in urology.
Evidence Acquisition: A systematic literature review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.
Evidence Synthesis: After screening, 4026 publications were identified for detailed review, of which 52 were included in the present systematic review: two papers reported the use of 3D-printing modeling for adrenal cancer, two papers for urethrovesical anastomosis, 24 papers for kidney transplantation and renal cancer, 13 papers for prostate cancer, seven papers for pelvicalyceal system procedures, and three papers for ureteral stents, and three papers reported 3D-printed biological scaffold development.
Conclusions: Three-dimensional printing shows revolutionary potentials for patient counseling, pre- and intraoperative surgical planning, and education in urology. Together with the "patient-tailored" presurgical planning, it puts the basis for 3D-bioprinting technology. Although costs and "production times" remain the major concerns, this kind of technology may represent a step forward to meet patients' and surgeons' expectations.
Patient Summary: Three-dimensional printing has been used for several purposes to help the surgeon better understand anatomy, sharpen his/her skills, and guide the identification of lesions and their relationship with surrounding structures. It can be used for surgical planning, education, and patient counseling to improve the decision-making process.
(Copyright © 2019 European Association of Urology. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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