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Training for percutaneous renal access on a virtual reality simulator
Zhang Yi1; Yu Cheng-fan1; Liu Jin-shun1; Wang Gang1; Zhu He1; Na Yan-qun2
关键词Virtual Reality Simulator Perc Mentor(Tm) Percutaneous Renal Access Training And Evaluation Tool
刊名CHINESE MEDICAL JOURNAL
2013-04-20
DOI10.3760/cma.j.issn.0366-6999.20121669
126期:8页:1528-1531
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]MODEL ; VALIDATION ; SURGERY ; NEPHROLITHOTOMY ; ULTRASOUND ; SYSTEM
英文摘要

Background The need to develop new methods of surgical training combined with advances in computing has led to the development of virtual reality surgical simulators. The PERC Mentor(TM) is designed to train the user in percutaneous renal collecting system access puncture. This study aimed to validate the use of this kind of simulator, in percutaneous renal access training.

Methods Twenty-one urologists were enrolled as trainees to learn a fluoroscopy-guided percutaneous renal accessing technique. An assigned percutaneous renal access procedure was immediately performed on the PERC Mentor(TM) after watching instruction video and an analog operation. Objective parameters were recorded by the simulator and subjective global rating scale (GRS) score were determined. Simulation training followed and consisted of 2 hours daily training sessions for 2 consecutive days. Twenty-four hours after the training session, trainees were evaluated performing the same procedure. The post-training evaluation was compared to the evaluation of the initial attempt.

Results During the initial attempt, none of the trainees could complete the appointed procedure due to the lack of experience in fluoroscopy-guided percutaneous renal access. After the short-term training, all trainees were able to independently complete the procedure. Of the 21 trainees, 10 had primitive experience in ultrasound-guided percutaneous nephrolithotomy. Trainees were thus categorized into the group of primitive experience and inexperience. The total operating time and amount of contrast material used were significantly lower in the group of primitive experience versus the inexperience group (P=0.03 and 0.02, respectively).

Conclusions The training on the virtual reality simulator, PERC Mentor(TM), can help trainees with no previous experience of fluoroscopy-guided percutaneous renal access to complete the virtual manipulation of the procedure independently. This virtual reality simulator may become an important training and evaluation tool in teaching fluoroscopy-guided percutaneous renal access.

语种英语
WOS记录号WOS:000319529000023
引用统计
被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56349
专题北京大学首钢医院_泌尿外科
作者单位1.Peking Univ, Shougang Hosp, Wu Jieping Urol Ctr, Beijing 100144, Peoples R China
2.Peking Univ, Dept Urol, Peoples Hosp, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Zhang Yi,Yu Cheng-fan,Liu Jin-shun,et al. Training for percutaneous renal access on a virtual reality simulator[J]. CHINESE MEDICAL JOURNAL,2013,126(8):1528-1531.
APA Zhang Yi,Yu Cheng-fan,Liu Jin-shun,Wang Gang,Zhu He,&Na Yan-qun.(2013).Training for percutaneous renal access on a virtual reality simulator.CHINESE MEDICAL JOURNAL,126(8),1528-1531.
MLA Zhang Yi,et al."Training for percutaneous renal access on a virtual reality simulator".CHINESE MEDICAL JOURNAL 126.8(2013):1528-1531.
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