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评估3D图像引导机器人辅助部分切除术 (3D-IGRAPN) 的瘤和功能结果:一项前性研究 (UroCCR-186)

Alice Pitout^1,2, Gaëlle Margue^1,2,3, Federico Rubat Baleuri^1,2

¹Urology Department, Bordeaux University Hospital, 33000 Bordeaux, France.

|July 12, 2025

概括

三维图像引导的机器人辅助部分切除术 (3D-IGRAPN) 显示了对癌的有希望的结果,实现了良好的功能和瘤结果. 这种技术支持3D建模整合用于脏节约手术.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
医疗成像医学成像

背景情况:

脏瘤需要精确的手术管理.
三维 (3D) 图像引导的机器人辅助部分切除术 (3D-IGRAPN) 使用患者特定的解剖模型来增强手术规划和指导.
评估3D-IGRAPN的中期结果对于其临床采用至关重要.

研究的目的:

评估3D-IGRAPN在一个大规模的前性队列中的中期功能和瘤结果.
确定三项成就率,定义为没有并发症,负边际和功能保存.
分析3D-IGRAPN后的并发症率,复发率,转移率和生存率.

主要方法:

从2016年1月到2023年3月连续接受3D-IGRAPN的患者的潜在纳入.
利用从手术前CT扫描生成的患者特定的3D模型进行手术内指导.
评估三重成就,功能结果,并发症,复发,转移和生存率.

主要成果:

在55.2%的恶性病例中实现了三合一.
在5.6%的手术中出现严重并发症;在5.1%的恶性病变中出现正边缘.
3个月后功能保存率为59.9%;复发和转移率分别为7.4%和8.6%,平均随访时间为31.5个月.

结论:

3D-IGRAPN显示了有利的功能和瘤结果,即使是复杂的瘤.
这项研究支持将3D建模作为图像导向脏节约手术中的标准工具的整合.
3D-IGRAPN为脏瘤管理提供了一种可行的方法,具有良好的生存率.

关键词:

3D模型是3D模型.在3D-IGRAPN中使用3D-IGRAPN.图像指导手术是指导图像的手术.节脏手术是为了节省脏.癌:癌是一种癌.机器人部分切除术这是一个三合一的东西.

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