Literature DB >> 17070287

A randomized, controlled, prospective study validating the acquisition of percutaneous renal collecting system access skills using a computer based hybrid virtual reality surgical simulator: phase I.

Bodo E Knudsen1, Edward D Matsumoto, Ben H Chew, Brooke Johnson, Vitaly Margulis, Jeffrey A Cadeddu, Margaret S Pearle, Stephen E Pautler, John D Denstedt.   

Abstract

PURPOSE: The need to develop new methods of surgical training combined with advances in computing has led to the development of sophisticated virtual reality surgical simulators. The PERC Mentortrade mark is designed to train the user in percutaneous renal collecting system access puncture. We evaluated and established face, content and construct validation of the simulator in this task.
MATERIALS AND METHODS: A total of 63 trainees underwent baseline testing on the simulator, consisting of percutaneous renal puncture followed by the introduction of a guidewire into the collecting system. Subjects were then randomized to an intervention arm, in which they underwent 2, 30-minute training sessions on the simulator, and a control arm, in which no further training was given, followed by repeat testing. Performance was assessed using a global rating scale and by virtual reality derived parameters.
RESULTS: There were no significant differences between the 2 groups with respect to baseline measures. Subjects who underwent training with the simulator demonstrated significant improvement in objective and subjective parameters compared to their baseline performance and compared to the untrained control group. Spearman rank correlations demonstrated a significant relationship between multiple parameters of the objective and subjective data.
CONCLUSIONS: Training on the simulator improves virtual reality skills. It may allow trainees to develop the basic skills necessary to perform percutaneous renal collecting system access. Face and content validity were demonstrated and construct validity was supported by establishing convergent validity.

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Mesh:

Year:  2006        PMID: 17070287     DOI: 10.1016/j.juro.2006.07.011

Source DB:  PubMed          Journal:  J Urol        ISSN: 0022-5347            Impact factor:   7.450


  15 in total

Review 1.  Simulation in surgical education.

Authors:  Vanessa N Palter; Teodor P Grantcharov
Journal:  CMAJ       Date:  2010-03-29       Impact factor: 8.262

Review 2.  Assessment and maintenance of competence in urology.

Authors:  Kamran Ahmed; Muhammed Jawad; Prokar Dasgupta; Ara Darzi; Thanos Athanasiou; Mohammad Shamim Khan
Journal:  Nat Rev Urol       Date:  2010-06-22       Impact factor: 14.432

3.  Is there a place for virtual reality simulators in assessment of competency in percutaneous renal access?

Authors:  Yasser A Noureldin; Nader Fahmy; Maurice Anidjar; Sero Andonian
Journal:  World J Urol       Date:  2015-08-05       Impact factor: 4.226

4.  How far will simulators be involved into training?

Authors:  M Pilar Laguna; Theodorus M de Reijke; Jean J de la Rosette
Journal:  Curr Urol Rep       Date:  2009-03       Impact factor: 3.092

5.  New ex vivo organ model for percutaneous renal surgery using a laparoendoscopic training box: the sandwich model.

Authors:  Stephan Jutzi; Florian Imkamp; Markus A Kuczyk; Ute Walcher; Udo Nagele; Thomas R W Herrmann
Journal:  World J Urol       Date:  2013-08-24       Impact factor: 4.226

6.  Assessment of percutaneous renal access skills during Urology Objective Structured Clinical Examinations (OSCE).

Authors:  Yasser A Noureldin; Mohamed A Elkoushy; Sero Andonian
Journal:  Can Urol Assoc J       Date:  2015 Mar-Apr       Impact factor: 1.862

7.  Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands on training percutaneous renal access.

Authors:  Yasser A Noureldin; David M Hoenig; Philip Zhao; Sammy E Elsamra; Joshua Stern; Geoffrey Gaunay; Piruz Motamedinia; Zeph Okeke; Ardeshir R Rastinehad; Robert M Sweet
Journal:  World J Urol       Date:  2018-02-17       Impact factor: 4.226

8.  Development and validation of a virtual reality transrectal ultrasound guided prostatic biopsy simulator.

Authors:  Venu Chalasani; Derek W Cool; Shi Sherebrin; Aaron Fenster; Joseph Chin; Jonathan I Izawa
Journal:  Can Urol Assoc J       Date:  2011-02       Impact factor: 1.862

Review 9.  Simulation-based training and assessment in urological surgery.

Authors:  Abdullatif Aydin; Nicholas Raison; Muhammad Shamim Khan; Prokar Dasgupta; Kamran Ahmed
Journal:  Nat Rev Urol       Date:  2016-08-23       Impact factor: 14.432

Review 10.  Validation and implementation of surgical simulators: a critical review of present, past, and future.

Authors:  B M A Schout; A J M Hendrikx; F Scheele; B L H Bemelmans; A J J A Scherpbier
Journal:  Surg Endosc       Date:  2009-07-25       Impact factor: 4.584

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