Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator

Sainsbury, Ben; Łącki, Maciej; Shahait, Mohammed; Goldenberg, Mitchell; Baghdadi, Amir; Cavuoto, Lora; Ren, Jing; Green, Mark; Lee, Jason; Averch, Timothy D.; Rossa, Carlos

doi:10.3389/frobt.2019.00145

Cited by 22 publications

(20 citation statements)

References 27 publications

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“…The puncture is an educational problem. This is also evident in the discussion of a recent paper on virtual reality training [25].…”

Section: Stone Scores and Learning Curvesmentioning

confidence: 74%

Percutaneous nephrolithotomy – the puncture

Alken

2021

BJU International

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ObjectiveTo determine what importance is given to the puncture and assistive technologies in percutaneous nephrolithotomy (PNL) in the current urological literature. MethodsPubMed was searched for English publications and reviews for the keywords: 'percutaneous nephrolithotomy', 'percutaneous nephrostomy', 'puncture'. The search was limited to the last 5 years, January 2016 until February 2021. Based on 183 abstracts, 121 publications were selected, read, and reviewed. References, older or seminal papers were read and cited if they contributed to a better understanding. A total of 198 references form the basis of this narrative review. ResultsThe puncture is frequently referred to as the most crucial part of PNL. In contrast, the influence of the puncture on the failure rate of PNL and the specific puncture-related complications seems to be low in the single-digit percentage range. However, there are no universally accepted definitions and standards measuring the quality of puncture. Consequently, the impact of the puncture on general PNL complications, on stone scores predicting success rates and on learning curves evaluating surgeons' performance have not been systematically studied. Assistive technologies rely on fluoroscopy and ultrasonography, the latter of which is becoming the preferred imaging modality for monitoring the entire procedure. Needle bending, a problem relevant to all puncture techniques, is not addressed in the urological literature. ConclusionsThe importance attached to puncture in PNL in the current urological literature is subjectively high but objectively low. Some basics of puncture are not well understood in urology. Disciplines other than urology are more actively involved in the development of puncture techniques.

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“…The puncture is an educational problem. This is also evident in the discussion of a recent paper on virtual reality training [25].…”

Section: Stone Scores and Learning Curvesmentioning

confidence: 74%

Percutaneous nephrolithotomy – the puncture

Alken

2021

BJU International

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“…Currently there are several types of simulation ranging from training with part simulators for specific skills to training multiple and complex skills in immersive environments using strategies such as virtual reality, surgical simulation ( 15 ) and the use of standardized patients.…”

Section: The Past and Present Of Simulationmentioning

confidence: 99%

Trends and Innovations of Simulation for Twenty First Century Medical Education

Herrera-Aliaga

Estrada

2022

Front. Public Health

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In the last two decades there has been an enormous growth in the use of clinical simulation. This teaching-learning methodology is currently the main tool used in the training of healthcare professionals. Clinical simulation is in tune with new paradigms in education and is consistent with educational theories that support the use of experiential learning. It promotes the development of psychomotor skills and strengthens executive functions. This pedagogical approach can be applied in many healthcare topics and is particularly relevant in the context of restricted access to clinical settings. This is particularly relevant considering the current crisis caused by the COVID-19 pandemic, or when trying to reduce the frequency of accidents attributed to errors in clinical practice. This mini-review provides an overview of the current literature on healthcare simulation methods, as well as prospects for education and public health benefits. A literature search was conducted in order to find the most current trends and state of the art in medical education simulation. Presently, there are many areas of application for this methodology and new areas are constantly being explored. It is concluded that medical education simulation has a solid theoretical basis and wide application in the training of health professionals at present. In addition, it is consolidated as an unavoidable methodology both in undergraduate curricula and in continuing medical education. A promising scenario for medical education simulation is envisaged in the future, hand in hand with the development of technological advances.

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“…They have many advantages for medical training. Indeed, they allow for repeated training sessions with different scenarios, including progressive and personalized difficulty levels [18] or contextualized cues to help the learner throughout the simulation. They also provide the learners with objective measurements recorded automatically by the system [8,15] to give appropriate feedback on their performance and learning curves [3].…”

Section: Locoregional Anesthesia Simulatorsmentioning

confidence: 99%

“…However, they also have some drawbacks. Indeed, although it is currently relatively easy to obtain a realistic visual rendering, providing realistic haptic feedback is much more complex [19,18]. Moreover, their acquisition cost is often very high, especially when including haptic interfaces [12].…”

Section: Locoregional Anesthesia Simulatorsmentioning

confidence: 99%