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1.
World J Urol ; 2019 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-31456017

RESUMO

CONTEXT: Despite the current era of precision surgery in robotics, an unmet need still remains for optimal surgical planning and navigation for most genitourinary diseases. 3D virtual reconstruction of 2D cross-sectional imaging has been increasingly adopted to help surgeons better understand the surgical anatomy. OBJECTIVES: To provide a short overview of the most recent evidence on current applications of 3D imaging in robotic urologic surgery. EVIDENCE ACQUISITION: A non-systematic review of the literature was performed. Medline, PubMed, the Cochrane Database and Embase were screened for studies regarding the use of 3D models in robotic urology. EVIDENCE SYNTHESIS: 3D reconstruction technology creates 3D virtual and printed models that first appeared in urology to aid surgical planning and intraoperative navigation, especially in the treatment of oncological diseases of the prostate and kidneys. The latest revolution in the field involves models overlapping onto the real anatomy and performing augmented reality procedures. CONCLUSION: 3D virtual/printing technology has entered daily practice in some tertiary centres, especially for the management of urological tumours. The 3D models can be virtual or printed, and can help the surgeon in surgical planning, physician education and training, and patient counselling. Moreover, integration of robotic platforms with the 3D models and the possibility of performing augmented reality surgeries increase the surgeon's confidence with the pathology, with potential benefits in precision and tailoring of the procedures.

3.
World J Urol ; 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31154465

RESUMO

PURPOSE: To assess associations of prostate volume index (PVI), defined as the ratio of the volume of the central transition zone to the volume of the peripheral zone of the prostate and prostatic chronic inflammation (PCI) as predictors of tumor load by number of positive cores (PC) in patients undergoing baseline random biopsies. METHODS: Parameters evaluated included age, PSA, total prostate volume, PSA density, digital rectal exam, PVI, and PCI. All patients underwent standard transperineal random biopsies. Tumor load was evaluated as absent (no PC), limited (1-3 PC), and extensive (more than 3 PC). The association of factors with the risk of tumor load was evaluated by the multinomial logistic regression model. RESULTS: The study evaluated 945 patients. Cancer PC were detected in 477 (507%) cases of whom 207 (43.4%) had limited tumor load and 270 (56.6%) had extensive tumor load. Among other factors, comparing patients with limited tumor load with negative cases, PVI [odds ratio, OR = 0.521, 95% confidence interval (CI) 0.330-0.824; p < 0.005] and PCI (OR = 0.289, 95% CI 0.180-0.466; p < 0.0001) were inversely associated with the PCA risk. Comparing patients with extensive tumor load with negative patients, PVI (OR = 0.579, 95% CI 0.356-0.944; p = 0.028), and PCI (OR = 0.150, 95% CI 0.085-0.265; p < 0.0001), predicted PCA risk. Comparing extensive tumor load with limited tumor load patients, PVI and PCI did not show any association with the tumor load. CONCLUSIONS: Increased PVI and the presence of PCI decreased the risk of increased tumor load and associated with less aggressive prostate cancer biology in patients at baseline random biopsies.

5.
Arch. esp. urol. (Ed. impr.) ; 71(1): 158-163, ene.-feb. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-171841

RESUMO

Urology has become more complex through the years, as it comprises increasingly sophisticated medical and surgical technologies such as advanced medical tumour therapies, and endourological, laparos-copicand robotic surgical techniques. Training in urology starts during medical school and once a medical student chooses to specialize on it, becomes life-long. Becoming a good urologist requires a highly qualified education and sufficient experience. To devise a training programme of high proficiency, several important factors must be considered. There are many studies in the literature revealing the thoughts of urology residents towards their training, needs and the realities. The aim of this chapter is to review the new technologies in urology training and show the new pathway of the future of training in urology (AU)


La urología se ha vuelto más compleja a través de los años, ya que comprende tecnologías médicas y quirúrgicas cada vez más sofisticadas, como terapias avanzadas de tumores médicos y técnicas quirúrgicas endourológicas, laparoscópicas y robóticas. El entrenamiento en urología comienza durante la escuela de medicina y una vez que un estudiante de medicina opta por especializarse en él, se convierte en toda la vida. Convertirse en un buen urólogo requiere una educación altamente calificada y suficiente experiencia. Para diseñar un programa de capacitación de alto nivel, se deben considerar varios factores importantes. Hay muchos estudios en la literatura que revelan las ideas de los residentes de urología sobre su capacitación, necesidades y realidades. El objetivo de este capítulo es revisar las nuevas tecnologías en la formación en urología y mostrar la nueva vía del futuro de la formación en urología (AU)


Assuntos
Humanos , Urologia/tendências , Procedimentos Cirúrgicos Urológicos/educação , Treinamento por Simulação , Internato e Residência , Multimídia
6.
Arch Esp Urol ; 71(1): 158-163, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29336346

RESUMO

Urology has become more complex through the years, as it comprises increasingly sophisticated medical and surgical technologies such as advanced medical tumour therapies, and endourological, laparoscopicand robotic surgical techniques. Training in urology starts during medical school and once a medical student chooses to specialize on it, becomes life-long. Becoming a good urologist requires a highly qualified education and sufficient experience. To devise a training programme of high proficiency, several important factors must be considered. There are many studies in the literature revealing the thoughts of urology residents towards their training, needs and the realities. The aim of this chapter is to review the new technologies in urology training and show the new pathway of the future of training in urology.


Assuntos
Urologia/educação , Educação de Pós-Graduação em Medicina/tendências , Previsões
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