RESUMO
ABSTRACT Purpose: To report our initial experience using a patient-specific 3D-printed renal tumor model for the surgical planning of a complex heminephrectomy in a horseshoe kidney. Materials and Methods: We selected a clinical case for a complex laparoscopic surgery consisting in a 53 year-old male presenting a local recurrence of a renal tumor in a horseshoe kidney with aberrant vascularisation previously treated with a laparoscopic partial nephrectomy. He is now proposed for a laparoscopic left heminephrectomy. Along with conventional imaging, a real-size 3D-printed renal model was used to plan de surgical approach. The perioperative experience of the surgical team was recorded. Results: The surgical team found the patient-specific 3D printed model useful for a better understanding of the anatomy and an easier surgical planning. Conclusion: The use of patient-specific 3D-printed renal models seem to be helpful for the surgical planning in complex renal tumors.
Assuntos
Humanos , Masculino , Carcinoma de Células Renais/cirurgia , Laparoscopia/métodos , Impressão Tridimensional , Rim Fundido/cirurgia , Neoplasias Renais/cirurgia , Modelos Anatômicos , Carcinoma de Células Renais/diagnóstico por imagem , Reprodutibilidade dos Testes , Resultado do Tratamento , Imageamento Tridimensional/métodos , Angiografia por Tomografia Computadorizada , Neoplasias Renais/diagnóstico por imagem , Pessoa de Meia-Idade , Nefrectomia/métodosRESUMO
Patient of 25 years with jaundice, fever and pain in the upper right zone of the abdomen. The sonography and computer tomography reveled images compatible with cyst hydatide disease. IgG ELISA for hydatidosis was positive. In the operation a 15 cm hydatide cyst of the liver comunicated to the biliary tree and multiple peritoneal cyst were found. The patient scape at 36 days of hospitalization