AccScience Publishing / IJB / Volume 9 / Issue 5 / DOI: 10.18063/ijb.766
RESEARCH ARTICLE

Multifunctional high-simulation 3D-printed hydrogel model manufacturing engineering for surgical training

Xiaodong Xu1,2† Shijie Yu1,2† Liang Ma1,2 Jinlei Mao2,3 Hao Chen2,3 Zhihao Zhu2,3 Li Wang4 Hui Lin5 Jing Zhang1* Zhifei Wang2*
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1 College of Materials Science and Engineering, Zhejiang University of Technology, Hangzhou, Zhejiang 310014, China
2 Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People’s Hospital, Hangzhou, Zhejiang 310014, China
3 The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China
4 Department of Ultrasound Medicine, Zhejiang Provincial People’s Hospital, Hangzhou, Zhejiang 310014, China
5 College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, Zhejiang 310058, China
Submitted: 23 February 2023 | Accepted: 18 April 2023 | Published: 1 June 2023
© 2023 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Advanced bionic organ models with vivid biological structures and wetness and softness are essential for medical-surgical training. Still, there are many challenges in the preparation process, such as matching mechanical properties, good feedback on surgical instruments, reproducibility of specific surgical scenarios, and distinguishability between structural levels. In this paper, we achieved tissuemimicking dual-network (DN) hydrogels with customizable stiffness by adjusting the composition of the hydrogel matrix and the immersion time of the ionic solution to match different biological soft tissues precisely. Combined with advanced threedimensional (3D) printing fabrication techniques, various performance-tunable bionic hydrogel organ models with structural complexity and fidelity, including kidney, liver, pancreas, and vascular tissues, were perfectly fabricated. The simulation and applicability of the model were also simulated for the forced change of the suture needle in the puncture and suture of a single tissue and between different tissues, the cutting of substantive organs by ultrasonic scalpel, the coagulation and hemostasis of blood vessels, the visualization of the internal structure under ultrasound, and the microwave ablation of liver tumors. By constructing advanced biomimetic organ models based on hydrogel with specific and tunable properties, the development of surgical training, medical device testing, and medical education reform will be significantly promoted.

Keywords
Bionic organ models
3D printing fabrication
Surgical training
Dual-network hydrogels
Tunable properties
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International Journal of Bioprinting, Electronic ISSN: 2424-8002 Print ISSN: 2424-7723, Published by AccScience Publishing