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Predictive Validation of a Robotic Virtual Reality Simulator: The Tube 3 module for Practicing Vesicourethral Anastomosis in Robot-Assisted Radical Prostatectomy.
Urology. 2018 Dec; 122:32-36.U

Abstract

OBJECTIVE

To predict actual performance in real surgery when vesicourethral anastomosis (VUA) is performed in patients after Tube 3 module training of robot-naive surgeons.

METHODS

Forty-five patients were enrolled and divided into 3 groups according to chronological trends (each containing 15 patients). Three robot-naive surgeons in a single center completed VUA in robot-assisted radical prostatectomy (RARP) following robotic virtual reality simulator (RVRS) training. The practicing tool used in robotic virtual reality simulator was Tube 3, which was invented for the dV-Trainer that imitates a VUA in RARP. The effects of performance were investigated by analyzing the number of repetitions and the time required to complete the task until achieving the predetermined proficiency level.

RESULTS

The targeted time (predetermined proficiency level) for completing tasks of Tube 3 and the number of required task repetitions to achieve the proficiency level were 283.1 s and 36 times, respectively, whereas in actual VUA procedures, the number of required attempts was 24, with an average time of 14.9 minutes. The mean time for completing VUA in real surgery significantly decreased with serial cases among all surgeons (1-15 vs 16-30 vs 31-45 cases, P <.001), as well as comparisons between groups (P <.001).

CONCLUSION

The Tube 3 module can represent a valuable educational tool for procedure-specific robotic training by bridging the gap between safe acquisition of surgical skills and effective performance during actual VUA in RARP.

Authors+Show Affiliations

Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea.Department of Urology, Korea University Medical Center, Seoul, Republic of Korea. Electronic address: kkangsung76@daum.net.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30144481

Citation

Shim, Ji Sung, et al. "Predictive Validation of a Robotic Virtual Reality Simulator: the Tube 3 Module for Practicing Vesicourethral Anastomosis in Robot-Assisted Radical Prostatectomy." Urology, vol. 122, 2018, pp. 32-36.
Shim JS, Noh TI, Kim JY, et al. Predictive Validation of a Robotic Virtual Reality Simulator: The Tube 3 module for Practicing Vesicourethral Anastomosis in Robot-Assisted Radical Prostatectomy. Urology. 2018;122:32-36.
Shim, J. S., Noh, T. I., Kim, J. Y., Pyun, J. H., Cho, S., Oh, M. M., Kang, S. H., Cheon, J., Lee, J. G., Kim, J. J., & Kang, S. G. (2018). Predictive Validation of a Robotic Virtual Reality Simulator: The Tube 3 module for Practicing Vesicourethral Anastomosis in Robot-Assisted Radical Prostatectomy. Urology, 122, 32-36. https://doi.org/10.1016/j.urology.2018.08.013
Shim JS, et al. Predictive Validation of a Robotic Virtual Reality Simulator: the Tube 3 Module for Practicing Vesicourethral Anastomosis in Robot-Assisted Radical Prostatectomy. Urology. 2018;122:32-36. PubMed PMID: 30144481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictive Validation of a Robotic Virtual Reality Simulator: The Tube 3 module for Practicing Vesicourethral Anastomosis in Robot-Assisted Radical Prostatectomy. AU - Shim,Ji Sung, AU - Noh,Tae Il, AU - Kim,Jae Yoon, AU - Pyun,Jong Hyun, AU - Cho,Seok, AU - Oh,Mi Mi, AU - Kang,Seok Ho, AU - Cheon,Jun, AU - Lee,Jeong Gu, AU - Kim,Je Jong, AU - Kang,Sung Gu, Y1 - 2018/08/23/ PY - 2018/04/17/received PY - 2018/08/07/revised PY - 2018/08/08/accepted PY - 2018/8/26/pubmed PY - 2019/5/23/medline PY - 2018/8/26/entrez SP - 32 EP - 36 JF - Urology JO - Urology VL - 122 N2 - OBJECTIVE: To predict actual performance in real surgery when vesicourethral anastomosis (VUA) is performed in patients after Tube 3 module training of robot-naive surgeons. METHODS: Forty-five patients were enrolled and divided into 3 groups according to chronological trends (each containing 15 patients). Three robot-naive surgeons in a single center completed VUA in robot-assisted radical prostatectomy (RARP) following robotic virtual reality simulator (RVRS) training. The practicing tool used in robotic virtual reality simulator was Tube 3, which was invented for the dV-Trainer that imitates a VUA in RARP. The effects of performance were investigated by analyzing the number of repetitions and the time required to complete the task until achieving the predetermined proficiency level. RESULTS: The targeted time (predetermined proficiency level) for completing tasks of Tube 3 and the number of required task repetitions to achieve the proficiency level were 283.1 s and 36 times, respectively, whereas in actual VUA procedures, the number of required attempts was 24, with an average time of 14.9 minutes. The mean time for completing VUA in real surgery significantly decreased with serial cases among all surgeons (1-15 vs 16-30 vs 31-45 cases, P <.001), as well as comparisons between groups (P <.001). CONCLUSION: The Tube 3 module can represent a valuable educational tool for procedure-specific robotic training by bridging the gap between safe acquisition of surgical skills and effective performance during actual VUA in RARP. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/30144481/Predictive_Validation_of_a_Robotic_Virtual_Reality_Simulator:_The_Tube_3_module_for_Practicing_Vesicourethral_Anastomosis_in_Robot_Assisted_Radical_Prostatectomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(18)30883-5 DB - PRIME DP - Unbound Medicine ER -