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Pioneering Patient-Specific Approaches for Precision Surgery Using Imaging and Virtual Reality

Pioneering Patient-Specific Approaches for Precision Surgery Using Imaging and Virtual Reality

Published on: April 5, 2024

Virtual reality simulator for training urologists on transurethral prostatectomy.

He Zhu¹, Yi Zhang, Jin-Shun Liu

¹Wu Jieping Urology Center, Shougang Hospital, Peking University, Beijing 100144, China.

Chinese Medical Journal

|April 6, 2013

Summary

Virtual reality simulators effectively train urologists in transurethral prostatectomy (TURP). This simulation-based training improves surgical skills and patient safety, warranting its use in urologic surgery education.

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Area of Science:

Urology
Surgical Education
Medical Simulation

Background:

Virtual reality (VR) simulators offer a novel approach to surgical skills training.
They enable simulation of diverse surgical scenarios and objective evaluation of trainee performance.
Existing simulators for transurethral resection of the prostate (TURP) are available, prompting investigation into their utility.

Purpose of the Study:

To investigate the effectiveness of a virtual reality simulator for training transurethral prostatectomy (TURP) skills.
To assess the impact of simulation-based training on surgical performance and safety parameters.

Main Methods:

Thirty-eight urologists participated in TURP training using the TURPSim™ system.
Pre- and post-training assessments included the global rate scale (GRS) and simulator-recorded objective parameters.
Participant feedback was collected via questionnaires.

Main Results:

Post-training, GRS scores significantly improved (18.0 ± 4.0 vs. 12.4 ± 4.2, P < 0.001).
Key surgical parameters improved, including reduced capsule resection rate (26.3% ± 0.6% vs. 21.2% ± 0.4%, P < 0.001), decreased blood loss ((125.8 ± 86.3) ml vs. (83.7 ± 41.6) ml, P < 0.001), and less external sphincter injury (3.6 ± 2.9 vs. 2.0 ± 2.0, P < 0.001).
The majority of trainees reported satisfaction, finding the simulator realistic and beneficial for skill enhancement.

Conclusions:

TURP training using virtual simulators enhances urologists' surgical skills and improves patient safety.
The TURPSim™ system shows promise for application in urologic surgery education and training.
Simulation-based training is a valuable adjunct for developing proficiency in transurethral prostatectomy.