Qin F, Sun YF, Wang XN, Li B, Zhang ZL, Zhang MX, Xie F, Liu SH, Wang ZJ, Cao YC, Jiao W. Application of a novel computer-assisted surgery system in percutaneous nephrolithotomy: A controlled study. World J Clin Cases 2022; 10(18): 6039-6049 [PMID: 35949849 DOI: 10.12998/wjcc.v10.i18.6039]
Corresponding Author of This Article
Wei Jiao, MMed, Associate Chief Physician, Associate Professor, Deputy Director, Department of Urology, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Shinan District, Qingdao 266000, Shandong Province, China. jiaowei3929@163.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Fei Qin, Ye-Feng Sun, Xin-Ning Wang, Bin Li, Zhi-Lei Zhang, Ming-Xin Zhang, Fei Xie, Shuai-Hong Liu, Zi-Jie Wang, Yuan-Chao Cao, Wei Jiao, Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China
Author contributions: All authors contributed to the study conception and design; Data collection was performed by Sun YF and Zhang ZL; Data analysis was performed by Qin F, Zhang MX and Xie F; Figure collection and processing was performed by Liu SH and Wang ZJ; Cao YC and Jiao W provided clinical advice; Wang XN and Li B revised the manuscript according to comments; The first draft of the manuscript was written by Qin F and all authors commented on previous versions of the manuscript; all authors read and approved the final manuscript.
Supported bythe Science and Technology Program in Chinese Medicine of Shandong Province, No. 2020M074.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Affiliated Hospital of Qingdao University, No. QYFYWZLL26370.
Informed consent statement: Informed consent was obtained from the patient in this study.
Conflict-of-interest statement: The authors had no conflict-of-interest to declare that are relevant to the content of this article.
Data sharing statement: The de-identified data will be shared on reasonable request to the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Jiao, MMed, Associate Chief Physician, Associate Professor, Deputy Director, Department of Urology, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Shinan District, Qingdao 266000, Shandong Province, China. jiaowei3929@163.com
Received: December 13, 2021 Peer-review started: December 13, 2021 First decision: February 14, 2022 Revised: March 1, 2022 Accepted: April 21, 2022 Article in press: April 21, 2022 Published online: June 26, 2022 Processing time: 185 Days and 14.3 Hours
ARTICLE HIGHLIGHTS
Research background
Percutaneous nephrolithotomy (PCNL) is still a great challenge for surgeons because of poor comprehension on complex adjacent structures.
Research motivation
Novel techniques are required to assist in planning and navigation.
Research objectives
To apply and evaluate the Hisense computer-assisted surgery (CAS) system in PCNL.
Research methods
A total of 60 patients with complex renal stones were included. CAS-assisted PCNL (the CAS group) and standard PCNL (the control group) were compared in a retrospective study. Success rate of one attempt, operation time, initial stone-free rate, decrease in hemoglobin, and complications were collected and analyzed.
Research results
The success rate of one puncturing attempt (90% vs 67%, P = 0.028) and the initial stone-free rate (87% vs 63%, P = 0.037) were significantly higher in the CAS group. Compared with standard PCNL, CAS-assisted PCNL had advantages in terms of the puncturing success rate and stone-free rate.
Research conclusions
The Hisense CAS System was recommended to assist in preoperative planning and intraoperative navigation for an intuitive, precise and convenient PCNL.
Research perspectives
Consisting of construction, display, simulation and measurement functions, the CAS system is a novel and all-around software based on new generation of three-dimensional (3D) reconstruction. Compared with standard PCNL, CAS-assisted PCNL had advantages in terms of the puncturing success rate and stone-free rate. The CAS System was recommended to assist in preoperative planning and intraoperative navigation for an intuitive, precise and convenient PCNL.
