Bernardo Nunez Garcia
@tauli.cat
Scopus Publications
- Clinical Impact of Patient-Specific 3D Models in Neonatal Surgery: A Case-Based Review of Applications and Future Directions
Oscar Girón-Vallejo, Bernardo Garcia-Nuñez, Isidoro Narbona-Arias, Alexander Siles-Hinojosa, Francisco Javier Murcia-Pascual, Moutasem Azzubi, Ignacio Gorriti, Dario Garcia-Calderon, Antonio Piñero-Madrona, Lucas Krauel
Children, 2025
Three-dimensional (3D) modeling and printing technologies are increasingly used in pediatric surgery, offering improved anatomical visualization, surgical planning, and personalized approaches to complex conditions. Compared to standard imaging, patient-specific 3D models—virtual or printed—provide a more intuitive spatial understanding of congenital anomalies, tumors, and vascular anomalies. This review compiles evidence from pediatric surgical fields including oncology, abdominal, and thoracic surgery, highlighting the clinical relevance of 3D applications. The technological workflow—from image segmentation to computer-aided design (CAD) modeling and multimaterial printing—is described, emphasizing accuracy, reproducibility, and integration into hospital systems. Several clinical cases are presented: neuroblastoma, cloacal malformation, conjoined twins, and two cases of congenital diaphragmatic hernia (one with congenital pulmonary airway malformation, CPAM). In each, 3D modeling enhanced anatomical clarity, increased surgeon confidence, and supported safer intraoperative decision-making. Models also improved communication with families and enabled effective multidisciplinary planning. Despite these advantages, challenges remain, such as production time, cost variability, and lack of standardization. Future directions include artificial intelligence-based automation, expanded use of virtual and mixed reality, and prospective validation studies in pediatric cohorts. Overall, 3D modeling represents a significant advance in pediatric precision surgery, with growing evidence supporting its safety, clinical utility, and educational value. - Antegrade endoscopic dilatation as an alternative approach to primary obstructive megaureter
Cirugia Pediatrica Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, 2021 - [Anderson-Hynes pyeloplasty in children under 2 years. Is the laparoscopy the technique of choice?].
Cirugia Pediatrica Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, 2012 - [Thoracoscopic lobectomy: initial experience].
Cirugia Pediatrica Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, 2010 - Heminephroureterectomy for duplex kidney: Laparoscopy versus open surgery
Luis García-Aparicio, Lucas Krauel, Xavier Tarrado, Marta Olivares, Bernardo García-Nuñez, Javier Lerena, Laura Saura, Jorge Rovira, Joan Rodo
Journal of Pediatric Urology, 2010