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Review
Urology & Nephrology
Lauren M. Conroy et al.
Summary: Assessing trainees' surgical proficiency is important in urological surgical training. The current standard, Urology Milestone Project, has limitations and lacks real-time operative feedback. There are multiple competency-based surgical assessment tools available, and a comprehensive review of the literature is needed to analyze their strengths and weaknesses for further development of a standardized assessment tool in urology training.
JOURNAL OF UROLOGY
(2023)
Article
Surgery
Eleni Amelia Felinska et al.
Summary: This study analyzed the effect of telestration guided instructions using an augmented reality system on gaze behavior during minimally invasive surgery (MIS) training. The results showed that using telestration improved the trainees' gaze behavior by reducing the time from instruction to fixation on targets and increasing the convergence of gazes between the instructor and the trainee. This led to better surgical performance and could be used to improve training outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Ahmad Omid Rahimi et al.
Summary: This study examined existing robotic surgery curricula and found that although most curricula contained all the elements of Kern's framework, there were critical deficiencies in important aspects such as implementation, quality of assessment tools, and evaluation of educational value. Future curricula should be designed using established educational frameworks to improve the quality of robotic surgery training.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Urology & Nephrology
Frank Waldbillig et al.
Summary: Modifying endourological teaching towards hands-on teaching resulted in stronger course interest, greater confidence regarding endourologic procedures, and significantly increased urologic knowledge transfer. HTP students rated the course more positively and expressed greater desire to participate in similar programs.
UROLOGIA INTERNATIONALIS
(2023)
Article
Education & Educational Research
Sigurd Beier Sloth et al.
Summary: This qualitative study explored first-year trainees' engagement in and perceptions of transfer of surgical skills training. The trainees described their training using sports analogies and reported visual orientations, kinaesthetic experiences, and elicited dialogues as their modes of orientation. Specific skills transfer included ambidexterity, coordination, instrument handling, and visuospatial ability. Transfer of training to the clinical setting was a challenge for the trainees, and they emphasized the importance of the work environment and supervisor-trainee relationships in the transfer process.
BMC MEDICAL EDUCATION
(2023)
Article
Surgery
Daan J. Verhoeven et al.
Summary: It was found that instrument tracking parameters can provide an indication of skill level, however, they are not sufficient for reliable assessment. Expert assessment remains superior in determining skill level in MIS suturing.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2023)
Article
Urology & Nephrology
Megan Stout et al.
Summary: Simulation-based medical student education curriculum focused on urology resulted in significant gains in knowledge and confidence. The curriculum was well-received by participants, who reported improved understanding of the subject matter and increased satisfaction. This type of educational intervention could be valuable for preparing students for urology residency.
Article
Urology & Nephrology
Marie-Therese Valovska et al.
Summary: This study used computer vision and artificial intelligence to create a composite score system for evaluating the efficiency of ureteroscopic procedures. The score was based on metrics such as distance, time, spectral arc length, and collision percentage, and could differentiate between novice and expert operators.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Surgery
Franziska Lang et al.
Summary: This study aimed to assess the transferability of surgical skills between the serious game Touch Surgery(TM) and the virtual reality trainer Lap Mentor(TM) for the laparoscopic hernia module. Validity evidence was collected for the Touch Surgery module, and it was found that Touch Surgery improved performances on the virtual reality trainer for task 1 but not for task 2. The results suggest that both virtual reality and Touch Surgery should be used in combination, with Touch Surgery being used first in multimodal training.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Chemistry, Analytical
Florin Covaciu et al.
Summary: In recent years, there has been an expansion in the development of VR simulators, particularly in the field of robotic surgery. This article presents a study on a VR simulator designed for robotically assisted single-uniport surgery. The control of the surgical robotic system is achieved using voice commands and a user interface connected to a wristband with sensors. The experimental evaluation showed promising results, validating the initial solution for further development.
Article
Health Care Sciences & Services
Samsun Lampotang et al.
Simulation in Healthcare-Journal of the Society for Simulation in Healthcare
(2023)
Article
Surgery
Ankit Sinha et al.
Summary: This study reviews the current state of robotic surgery training for surgeons, including the various curricula, training methods, and tools available. Simulation training is an important aspect to improve technical skill acquisition and reduce mental workload. Future advances include the use of emerging technologies such as AI and augmented reality for real-time feedback and immersive training environments.
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND
(2023)
Article
Urology & Nephrology
Astrid Boulenger de Hauteclocque et al.
Summary: This study successfully created a high-fidelity, 3D printed, flexible ureteroscopy simulator and assessed its validity. Participants demonstrated significant improvement in performance after using the simulator, and medical students showed the greatest progress. The simulator was considered visually realistic and interesting for training purposes.
Article
Urology & Nephrology
M. Llorente-Ortega et al.
Summary: Simulation in medicine has developed significantly, especially in surgical training. Simulation can help reduce the learning curve of endourology procedures. A low-fidelity simulator was designed and validated with experts and non-experts, demonstrating its effectiveness for training and skill improvement.
ACTAS UROLOGICAS ESPANOLAS
(2023)
Article
Engineering, Biomedical
Dani Kiyasseh et al.
Summary: A machine learning system leveraging a vision transformer and supervised contrastive learning accurately decodes elements of intraoperative surgical activity from videos commonly collected during robotic surgeries. The system can generalize across different videos, surgeons, hospitals, and surgical procedures, and provide information on surgical gestures and skills from unannotated videos.
NATURE BIOMEDICAL ENGINEERING
(2023)
Article
Urology & Nephrology
Timothy N. Chu et al.
European Urology Focus
(2023)
Article
Urology & Nephrology
Riccardo Campi et al.
Summary: In this study, the first entirely 3D-printed simulator, RAKT Box, was developed to train future robot-assisted kidney transplantation (RAKT) surgeons. By simulating the key steps of RAKT, the RAKT Box was proven to be a reliable educational tool and may represent the first step toward the definition of a structured surgical curriculum in RAKT.
EUROPEAN UROLOGY OPEN SCIENCE
(2023)
Article
Surgery
Hanne Pedersen et al.
Summary: This study investigated the impact of visuo-spatial ability, background factors, and manual dexterity on laparoscopic surgical simulator performance among applicants and 1st year surgical residents. The results showed that visuospatial ability was significantly associated with performance in a 2D video box laparoscopic simulator, but not in a 3D virtual reality simulator. Other background factors were not associated with performance in either simulator. The findings suggest that knowledge of an applicant's visuospatial ability can be utilized to tailor individualized laparoscopic training programs and potentially serve as a selection tool for laparoscopic ability in the future.
SURGERY OPEN SCIENCE
(2023)
Article
Surgery
Michael McCabe et al.
Summary: Open transplant nephrectomy for failed renal allograft is an invasive procedure with significant perioperative morbidity and mortality. Robotic assisted transplant nephrectomy (RATN) offers potential benefits for patients. This study provides limited data on the outcomes and techniques of RATN through simulated procedures and retrospective analysis of cases, demonstrating the feasibility and good outcomes of RATN.
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
(2023)
Article
Surgery
Ozguer Kilincarslan et al.
Summary: This study aimed to investigate the effects of video game habits, duration of experience, and training in different surgical clinics on the success of robotic surgery simulators. The study found that video game experience, mobile game experience, and surgical and laparoscopic surgery experience all had an impact on the performance of robotic surgery simulators. Therefore, the importance of video game-based learning techniques will increase when combined with rapidly developing simulation technologies in robotic surgery training.
JOURNAL OF ROBOTIC SURGERY
(2023)
Article
Urology & Nephrology
C. R. Trelles Guzman et al.
Summary: This study developed a 3D printed plastic model for teaching, training, and education in flexible ureteroscopy. The model has reasonable costs and provides the necessary skills and confidence for practice.
ACTAS UROLOGICAS ESPANOLAS
(2022)
Review
Surgery
Matthew Young et al.
Summary: The growth of bootcamp style simulation training in surgical practice has been exponential over the last decade. This systematic review identifies the key components of a successful surgical bootcamp, including delivery at transition, mapping syllabus, multimodality delivery, and deliberate practice with formative feedback. The review suggests that surgical bootcamp can be an extremely useful education tool for trainees if these five pillars are respected.
AMERICAN JOURNAL OF SURGERY
(2022)
Editorial Material
Surgery
George W. Moran et al.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Urology & Nephrology
Abdullatif Aydin et al.
Summary: This study compared the performance and patient outcomes of residents undergoing additional simulation training versus conventional training, finding that the simulation group showed better performance in skill scores and surgical complications.
Article
Urology & Nephrology
Marie-Therese Valovska et al.
Summary: Flexible ureteroscopy (fURS) is the most common surgical procedure for urolithiasis treatment. Our pilot study found that measures of movement economy were associated with efficient ureteroscopic manipulation for complex tasks, with decreased head and torso movement linked to higher efficiency.
JOURNAL OF ENDOUROLOGY
(2022)
Article
Urology & Nephrology
Paolo Dell'Oglio et al.
Summary: A structured training program for robot-assisted radical cystectomy (RARC) was developed to help surgeons overcome the learning curve and improve patient safety.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Urology & Nephrology
Ahmed Ghazi
UROLOGIC CLINICS OF NORTH AMERICA
(2022)
Editorial Material
Surgery
Felix Nickel et al.
Article
Surgery
Sigurd Beier Sloth et al.
Summary: The study compared centralized instructor-regulated training (CIRT) with home-based self-regulated training (HSRT) in laparoscopy skill training and found comparable performance improvements between the two. HSRT facilitated distributed training with greater variation in training times. Trainees performed well in performance tests, and the improvement patterns were similar in both groups.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Urology & Nephrology
Loc Trinh et al.
Summary: This study evaluated predictive models for urinary continence recovery following robot-assisted radical prostatectomy and found that technical skills and needle driving metrics during vesicourethral anastomosis were the most contributory factors.
EUROPEAN UROLOGY FOCUS
(2022)
Review
Surgery
Helen Please et al.
Summary: The exposure of urology trainees to operative and non-technical skills has decreased due to various factors, and simulation-based education is seen as an innovative solution to address this deficiency. The UK Urology Simulation Boot Camp, as an example, has successfully equipped trainees with core technical and non-technical skills, leading to improvements in knowledge and confidence.
INDIAN JOURNAL OF SURGERY
(2022)
Review
Urology & Nephrology
Josephine A. van der Leun et al.
Summary: This study investigated whether adding video review to VR simulation-based training improves the ability of novice physicians to complete complex robot tasks. The results showed that video revision significantly reduced injuries and improved the optimal depth of sutures. Additionally, both groups demonstrated enhanced skills on the da Vinci robot after training on the VR simulator.
JOURNAL OF ENDOUROLOGY
(2022)
Article
Urology & Nephrology
Jeremy Cepek et al.
Summary: A novel and affordable portable endoscopic simulator has been introduced in this study for training basic endoscopic skills. The simulator has good utility as a training tool, but requires some modifications to enhance realism. Both novices and experts showed improvements in task performance through repeated measurements.
JOURNAL OF ENDOUROLOGY
(2022)
Article
Urology & Nephrology
Runzhuo Ma et al.
Summary: This study aimed to test the feasibility of providing tailored feedback based on clinically relevant performance metrics and explore its impact on the acquisition of robotic suturing skills. The results showed that tailored feedback based on these metrics can expedite the acquisition of robotic suturing skills.
JOURNAL OF UROLOGY
(2022)
Article
Health Care Sciences & Services
Rachel Melnyk et al.
Summary: This study developed a simulation-based curriculum to improve the skills and knowledge of robotic surgical teams in managing emergency situations. The results showed significant improvements in participants' knowledge and confidence, as well as their performance in the simulated operations.
SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE
(2022)
Article
Urology & Nephrology
Ahmed Ghazi et al.
Summary: The study evaluated the impact of high-fidelity patient-specific simulations on surgical outcomes in percutaneous nephrolithotomy procedures. Results showed significant improvements in fluoroscopy time, percutaneous needle access attempts, complications, and additional procedures in the rehearsal group compared to the standard group, demonstrating the effectiveness of patient-specific procedural rehearsal in enhancing surgical performance and patient outcomes.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Rachel Melnyk et al.
Summary: This study utilized 3D printing and molding to develop hydrogel models for surgical rehearsals, with three methods employed to evaluate their anatomical accuracy. The results demonstrated high similarity in geometry and alignment between the models and actual patient anatomy, supporting the use of anatomically accurate surgical rehearsals.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Bakhman Guliev et al.
Summary: This study describes the manufacture of a nonbiological kidney cavity puncture trainer and its benefits in the 30-day learning course of junior residents. The results show that the simulator significantly improved the residents' ability to perform kidney punctures and increased their motivation for further learning.
Article
Urology & Nephrology
Claudia Deyirmendjian et al.
Summary: This study evaluated the validity of a novel organ phantom for use in simulation training for anatomical endoscopic enucleation of the prostate (AEEP). Participants agreed on the importance of simulators in AEEP training, and the organ phantom was considered feasible and appropriate for teaching skills transferrable to the operating room.
CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL
(2022)
Article
Urology & Nephrology
Alberto Piana et al.
Summary: This study aims to use augmented reality technology to locate plaques during kidney transplantation surgery, overcoming the main limitation of robotic-assisted kidney transplantation. By using three-dimensional virtual models and AR guidance, plaques in patients' blood vessels can be identified more accurately. Although training is needed to correctly superimpose virtual models, this technique has the potential to expand its applications in patients with atheromatous vascular disease.
Article
Surgery
Zixin Chen et al.
Summary: This study developed an evaluation system based on basic surgical gestures performed by surgeons to assess the surgical performance of laparoscopic cholecystectomy. The results showed that novices had significantly longer operation time, more Surgestures, and lower efficiency compared to experts. The performance metrics of LC Surgesture had weak associations with other evaluation criteria.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Health Care Sciences & Services
Runzhuo Ma et al.
Summary: The performance of a surgery has a significant impact on patient outcomes, but objective quantification of performance has been a challenge. Researchers identified specific gestures in a robot-assisted prostatectomy and found that certain gestures were associated with better 1-year erectile function recovery. They also developed machine learning models using these gesture sequences to predict erectile function recovery.
NPJ DIGITAL MEDICINE
(2022)
Article
Education & Educational Research
Lauren Schlegel et al.
Summary: This study created a standardized assessment for trainees using patient-specific 3D models as a tool in medical education during pre-surgical planning, highlighting the increasing importance of standardized assessment in medical education.
BMC MEDICAL EDUCATION
(2022)
Article
Engineering, Biomedical
Do Yeon Kim et al.
Summary: Minimally-invasive surgery is rapidly growing and has become a standard approach for many operations. However, the training for this technique often relies on models that do not offer realistic surgical scenes or useful real-time feedback. In this study, we developed a high-fidelity artificial urological system that simulates endourological procedures and provides quantitative assessment of surgical performance. The system, fabricated using 3D printing and human CT data, resembles the human upper urinary tract in terms of anatomical shape and vascular patterns. Through endoscopic video analysis, performance skills can be quantitatively evaluated. This surgical simulator offers a unique opportunity for realistic and safe training of endourological procedures, and may establish a quantitative standard for evaluating endoscopic skills.
JOURNAL OF FUNCTIONAL BIOMATERIALS
(2022)
Article
Urology & Nephrology
Megan Stout et al.
Summary: The use of simulation-based bootcamp curriculum for teaching common urologic procedures to medical students resulted in knowledge gains and increased procedural confidence.
Article
Urology & Nephrology
Taseen F. Haque et al.
Summary: This study developed a comprehensive suturing skills assessment tool and confirmed its validity. Through cognitive task analysis and the Delphi process, 7 domains, 18 subskills, and 57 detailed subskill descriptions were identified. The results showed that EASE can distinguish surgeon experience and has high inter-rater reliability.
Article
Urology & Nephrology
Taseen F. Haque et al.
Summary: This study developed a suturing skills assessment tool called EASE, which can distinguish surgeon experience and maintain rater reliability, through cognitive task analysis and Delphi process.
Article
Urology & Nephrology
Nikolaos Liakos et al.
Summary: This study evaluated and validated the use of a chicken crop model for teaching robot-assisted pyeloplasty. The results showed that the model was effective in training novice surgeons and was regarded as a useful simulation task.
EUROPEAN UROLOGY OPEN SCIENCE
(2022)
Article
Urology & Nephrology
Jasper A. Laca et al.
Summary: The study demonstrates that real-time feedback significantly improves the performance and learning outcomes of medical students in robotic surgical tasks. The feedback approach showed a stronger impact on error rates and technical skills scores for underperformers, with positive effects on overall performance for trainees.
EUROPEAN UROLOGY OPEN SCIENCE
(2022)
Article
Urology & Nephrology
Yongseok Kho et al.
Summary: This study evaluated the feasibility of a newly-developed 3D printed navigation training module for retrograde intrarenal surgery. The results showed that the module was effective in improving surgical skills of flexible ureteroscopy.
INVESTIGATIVE AND CLINICAL UROLOGY
(2022)
Article
Engineering, Biomedical
Lucas-Raphael Mueller et al.
Summary: Surgical training is crucial in reducing post-operative mortality. This study explores the use of augmented reality to enable experienced surgeons to effectively mentor trainees. The results demonstrate that our algorithm enables real-time hand tracking with sufficient accuracy for surgical telestration.
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
(2022)
Article
Urology & Nephrology
Erik B. Vanstrum et al.
Summary: The study successfully developed and validated DART, an objective and reproducible 3-point surgical assessment tool for evaluating tissue dissection. DART can effectively differentiate levels of surgeon experience and can be used in multiple surgical steps.
Article
Surgery
Nicholas Raison et al.
Summary: The study showed that procedural VR training is more effective in minimally invasive surgery, leading to improved technical skills. Any VR training resulted in significantly higher GEARS scores compared to no training. Procedural VR simulation was found to be effective for robotic training, successfully transferring technical skills to a clinical task in cadavers.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Urology & Nephrology
Runzhuo Ma et al.
Summary: Recent innovations in urologic surgical training include the development of assessment tools, various simulation modalities, and a focus on non-technical skills. Despite these advancements, there is still a need for a standardized surgical training program covering both technical and non-technical skills.
CURRENT UROLOGY REPORTS
(2021)
Article
Surgery
Courtney A. Green et al.
AMERICAN JOURNAL OF SURGERY
(2020)
Article
Medicine, General & Internal
John D. Birkmeyer et al.
NEW ENGLAND JOURNAL OF MEDICINE
(2013)
