Role of virtual reality in improving the spatial perception of the kidney during flexible ureteroscopy: A feasibility study using virtual reality simulators and 3D models
Talyshinskii A. Hameed B.Z. Zhanbyrbekuly U. Silay M.S. Naik N. Shah M. Singh A. Guliev B. Juliebø-Jones P. Somani B.K.
1 March 2024Lippincott Williams and Wilkins
Current Urology
2024#18Issue 124 - 29 pp.
Background The aims were to describe a software-based reconstruction of the patient-specific kidney cavity intraluminal appearance via a head-mounted device and to estimate its feasibility for training novices. Materials and methods In total, 15 novices were recruited. Each novice was shown a three-dimensional reconstruction of a patients computed tomography scan, whose kidney was printed. They then joined the surgeon in the operating room and assisted them in detecting the stone during flexible ureteroscopy on the printed model. Then, each participant did a 7-day virtual reality (VR) study followed by virtual navigation of the printed kidney model and came to the operating room to help the surgeon with ureteroscope navigation. The length of the procedure and the number of attempts to find the targeted calyx were compared. Results With VR training, the length of the procedure (p = 0.0001) and the number of small calyces that were incorrectly identified as containing stones were significantly reduced (p = 0.0001). All the novices become highly motivated to improve their endourological skills further. Participants noticed minimal values for nausea and for disorientation. However, oculomotor-related side effects were defined as significant. Five specialists noticed a good similarity between the VR kidney cavity representation and the real picture, strengthening the potential for the novices education via VR training. Conclusions Virtual reality simulation allowed for improved spatial orientation within the kidney cavity by the novices and could be a valuable option for future endourological training and curricula.
3D , Endourology , Kidney calculi , Nephroscopy , Training , Ureteroscopy , Virtual reality
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Department of Urology, Astana Medical University, Astana, Kazakhstan
Department of Urology, Father Muller Medical College, Karnataka, Mangalore, India
Department of Urology, Istanbul Medeniyet University, Istanbul, Turkey
Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Karnataka, Manipal, India
Department of Urology, Aarogyam Hospital, Ahmedabad, India
Department of Urology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, Manipal, India
Department of Urology, Mariinsky Hospital, Saint Petersburg, Russian Federation
Department of Urology, Haukeland University Hospital, Bergen, Norway
Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom
Department of Urology
Department of Urology
Department of Urology
Department of Mechanical and Industrial Engineering
Department of Urology
Department of Urology
Department of Urology
Department of Urology
Department of Urology
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