دورية أكاديمية
أعرض في EDS

A Multi-institution Study on the Association of Virtual Reality Skills with Continence Recovery after Robot-assisted Radical Prostatectomy.

التفاصيل البيبلوغرافية
العنوان: A Multi-institution Study on the Association of Virtual Reality Skills with Continence Recovery after Robot-assisted Radical Prostatectomy.
المؤلفون: Chu TN; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Wong EY; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Ma R; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Yang CH; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Dalieh IS; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Hui A; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Gomez O; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Cen S; Department of Radiology, University of Southern California, Los Angeles, CA, USA., Ghazi A; Department of Urology, University of Rochester, Rochester, NY, USA., Miles BJ; Department of Urology, Houston Methodist, Houston, TX, USA., Lau C; Department of Urology, City of Hope, Duarte, CA, USA., Davis JW; Department of Urology, MD Anderson Cancer Center, Houston, TX, USA., Goldenberg MG; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA., Hung AJ; Center for Robotic Simulation & Education, Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA. Electronic address: ajhung@gmail.com.
المصدر: European urology focus [Eur Urol Focus] 2023 Nov; Vol. 9 (6), pp. 1044-1051. Date of Electronic Publication: 2023 Jun 03.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101665661 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2405-4569 (Electronic) Linking ISSN: 24054569 NLM ISO Abbreviation: Eur Urol Focus Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam : Elsevier B.V., [2015]-
مواضيع طبية MeSH: Robotics* , Virtual Reality*, Male ; Humans ; Prostate ; Prospective Studies ; Prostatectomy/methods
مستخلص: Background: Virtual reality (VR) simulators are increasingly being used for surgical skills training. It is unclear what skills are best improved via VR, translate to live surgical skills, and influence patient outcomes.
Objective: To assess surgeons in VR and live surgery using a suturing assessment tool and evaluate the association between technical skills and a clinical outcome.
Design, Setting, and Participants: This prospective five-center study enrolled participants who completed VR suturing exercises and provided live surgical video. Graders provided skill assessments using the validated End-To-End Assessment of Suturing Expertise (EASE) suturing evaluation tool.
Outcome Measurements and Statistical Analysis: A hierarchical Poisson model was used to compare skill scores among cohorts and evaluate the association of scores with clinical outcomes. Spearman's method was used to assess correlation between VR and live skills.
Results and Limitations: Ten novices, ten surgeons with intermediate expertise (median 64 cases, interquartile range [IQR] 6-80), and 26 expert surgeons (median 850 cases, IQR 375-3000) participated in this study. Intermediate and expert surgeons were significantly more likely to have ideal scores in comparison to novices for the subskills needle hold angle, wrist rotation, and wrist rotation needle withdrawal (p < 0.01). For both intermediate and expert surgeons, there was positive correlation between VR and live skills for needle hold angle (p < 0.05). For expert surgeons, there was a positive association between ideal scores for VR needle hold angle and driving smoothness subskills and 3-mo continence recovery (p < 0.05). Limitations include the size of the intermediate surgeon sample and clinical data limited to expert surgeons.
Conclusions: EASE can be used in VR to identify skills to improve for trainee surgeons. Technical skills that influence postoperative outcomes may be assessable in VR.
Patient Summary: This study provides insights into surgical skills that translate from virtual simulation to live surgery and that have an impact on urinary continence after robot-assisted removal of the prostate. We also highlight the usefulness of virtual reality in surgical education.
(Copyright © 2023 European Association of Urology. Published by Elsevier B.V. All rights reserved.)
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معلومات مُعتمدة: R01 CA251579 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: Robotics; Skills assessment; Surgical training; Virtual reality
تواريخ الأحداث: Date Created: 20230605 Date Completed: 20231219 Latest Revision: 20240218
رمز التحديث: 20240218
مُعرف محوري في PubMed: PMC10693649
DOI: 10.1016/j.euf.2023.05.011
PMID: 37277274
قاعدة البيانات: MEDLINE
الوصف
تدمد:2405-4569
DOI:10.1016/j.euf.2023.05.011