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

Percutaneous Nephrolithotomy is the standard surgical procedure used to remove large kidney stones. PCNL procedures have a steep learning curve; a physician needs to complete between 36 and 60 procedures, to achieve clinical proficiency. Marion Surgical K181 is a virtual reality surgical simulator,...

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Main Authors: Ben Sainsbury, Maciej Łącki, Mohammed Shahait, Mitchell Goldenberg, Amir Baghdadi, Lora Cavuoto, Jing Ren, Mark Green, Jason Lee, Timothy D. Averch, Carlos Rossa
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Robotics and AI
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/frobt.2019.00145/full
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author Ben Sainsbury
Maciej Łącki
Mohammed Shahait
Mitchell Goldenberg
Amir Baghdadi
Lora Cavuoto
Jing Ren
Mark Green
Jason Lee
Timothy D. Averch
Carlos Rossa
author_facet Ben Sainsbury
Maciej Łącki
Mohammed Shahait
Mitchell Goldenberg
Amir Baghdadi
Lora Cavuoto
Jing Ren
Mark Green
Jason Lee
Timothy D. Averch
Carlos Rossa
author_sort Ben Sainsbury
collection DOAJ
description Percutaneous Nephrolithotomy is the standard surgical procedure used to remove large kidney stones. PCNL procedures have a steep learning curve; a physician needs to complete between 36 and 60 procedures, to achieve clinical proficiency. Marion Surgical K181 is a virtual reality surgical simulator, which emulates the PCNL procedures without compromising the well-being of patients. The simulator uses a VR headset to place a user in a realistic and immersive operating theater, and haptic force-feedback robots to render physical interactions between surgical tools and the virtual patient. The simulator has two modules for two different aspects of PCNL kidney stone removal procedure: kidney access module where the user must insert a needle into the kidney of the patient, and a kidney stone removal module where the user removes the individual stones from the organ. In this paper, we present user trials to validate the face and construct validity of the simulator. The results, based on the data gathered from 4 groups of users independently, indicate that Marion's surgical simulator is a useful tool for teaching and practicing PCNL procedures. The kidney stone removal module of the simulator has proven construct validity by identifying the skill level of different users based on their tool path. We plan to continue evaluating the simulator with a larger sample of users to reinforce our findings.
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spelling doaj.art-b408c1c8f496462682709d50fa2cbfae2022-12-22T01:29:07ZengFrontiers Media S.A.Frontiers in Robotics and AI2296-91442020-01-01610.3389/frobt.2019.00145486021Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical SimulatorBen Sainsbury0Maciej Łącki1Mohammed Shahait2Mitchell Goldenberg3Amir Baghdadi4Lora Cavuoto5Jing Ren6Mark Green7Jason Lee8Timothy D. Averch9Carlos Rossa10Faculty of Science, Ontario Tech University, Oshawa, ON, CanadaFaculty of Engineering and Applied Science, Ontario Tech University, Oshawa, ON, CanadaUniversity of Pittsburgh Medical Center, Pittsburgh, PA, United StatesSt. Michael's Hospital, Toronto, ON, CanadaUniversity of Buffalo, Buffalo, NY, United StatesUniversity of Buffalo, Buffalo, NY, United StatesFaculty of Engineering and Applied Science, Ontario Tech University, Oshawa, ON, CanadaFaculty of Science, Ontario Tech University, Oshawa, ON, CanadaSt. Michael's Hospital, Toronto, ON, CanadaUniversity of Pittsburgh Medical Center, Pittsburgh, PA, United StatesFaculty of Engineering and Applied Science, Ontario Tech University, Oshawa, ON, CanadaPercutaneous Nephrolithotomy is the standard surgical procedure used to remove large kidney stones. PCNL procedures have a steep learning curve; a physician needs to complete between 36 and 60 procedures, to achieve clinical proficiency. Marion Surgical K181 is a virtual reality surgical simulator, which emulates the PCNL procedures without compromising the well-being of patients. The simulator uses a VR headset to place a user in a realistic and immersive operating theater, and haptic force-feedback robots to render physical interactions between surgical tools and the virtual patient. The simulator has two modules for two different aspects of PCNL kidney stone removal procedure: kidney access module where the user must insert a needle into the kidney of the patient, and a kidney stone removal module where the user removes the individual stones from the organ. In this paper, we present user trials to validate the face and construct validity of the simulator. The results, based on the data gathered from 4 groups of users independently, indicate that Marion's surgical simulator is a useful tool for teaching and practicing PCNL procedures. The kidney stone removal module of the simulator has proven construct validity by identifying the skill level of different users based on their tool path. We plan to continue evaluating the simulator with a larger sample of users to reinforce our findings.https://www.frontiersin.org/article/10.3389/frobt.2019.00145/fullhapticsvirtual realitysimulationPCNLpercutaneous nephrolithotomysurgical simulation and training
spellingShingle Ben Sainsbury
Maciej Łącki
Mohammed Shahait
Mitchell Goldenberg
Amir Baghdadi
Lora Cavuoto
Jing Ren
Mark Green
Jason Lee
Timothy D. Averch
Carlos Rossa
Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator
Frontiers in Robotics and AI
haptics
virtual reality
simulation
PCNL
percutaneous nephrolithotomy
surgical simulation and training
title Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator
title_full Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator
title_fullStr Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator
title_full_unstemmed Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator
title_short Evaluation of a Virtual Reality Percutaneous Nephrolithotomy (PCNL) Surgical Simulator
title_sort evaluation of a virtual reality percutaneous nephrolithotomy pcnl surgical simulator
topic haptics
virtual reality
simulation
PCNL
percutaneous nephrolithotomy
surgical simulation and training
url https://www.frontiersin.org/article/10.3389/frobt.2019.00145/full
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