A 3D-Printed, High-Fidelity Pelvis Training Model: Cookbook Instructions and First Experience
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Le résumé fourni par la source
Background: Since laparoscopic surgery became the gold standard for colorectal procedures, specific skills are required to achieve good outcomes. The best way to acquire basic and advanced skills and reach the learning curve plateau is by using dedicated simulators: box-trainers, video-trainers and virtual reality simulators. Laparoscopic skills training outside the operating room is cost-beneficial, faster and safer, and does not harm the patient. When compared to box-trainers, virtual reality simulators and cadaver models have no additional benefits. Several laparoscopic trainers available on the market as well as homemade box and video-trainers, most of them using plastic boxes and standard webcams, were described in the literature. The majority of them involve training on a flat surface without any anatomical environment. In addition to their demonstrated benefits, box-trainers which add anatomic details can improve the training quality and skills development of surgeons. Methods: We created a 3D-printed anatomic pelvi-trainer which offers a real-size narrow pelvic space environment for training. The model was created starting with a CT-scan performed on a female pelvis from the Anatomy Museum (Cluj-Napoca University of Medicine and Pharmacy, Romania), using Invesalius 3 software (Centro de Tecnologia da informação Renato Archer CTI, InVesalius open-source software, Campinas, Brazil) for segmentation, Fusion 360 with Netfabb software (Autodesk software company, Fusion 360 with Netfabb, San Francisco, CA, USA) for 3D modeling and a FDM technology 3D printer (Stratasys 3D printing company, Fortus 380mc 3D printer, Minneapolis, MN, USA). In addition, a metal mold for casting silicone valves was made for camera and endoscopic instruments ports. The trainer was tested and compared using a laparoscopic camera, a standard full HD webcam and “V-Box” (INTECH—Innovative Training Technologies, Milano, Italia), a dedicated hard paper box. The pelvi-trainer was tested by 33 surgeons with different qualifications and expertise. Results: We made a complete box-trainer with a versatile 3D-printed pelvi-trainer inside, designed for a wide range of basic and advanced laparoscopic skills training in the narrow pelvic space. We assessed the feedback of 33 surgeons regarding their experience using the anatomic 3D-printed pelvi-trainer for laparoscopic surgery training in the narrow pelvic space. Each surgeon tested the pelvi-trainer in three different setups: using a laparoscopic camera, using a webcam connected to a laptop and a “V-BOX” hard paper box. In the experiments that were performed, each participant completed a questionnaire regarding his/her experience using the pelvi-trainer. The results were positive, validating the device as a valid tool for training. Conclusions: We validated the anatomic pelvi-trainer designed by our team as a valuable alternative for basic and advanced laparoscopic surgery training outside the operating room for pelvic organs procedures, proving that it supports a much faster learning curve for colorectal procedures without harming the patients.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A 3D-Printed, High-Fidelity Pelvis Training Model: Cookbook Instructions and First Experience
- Date Crossref
- 26/10/2024
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Iuliu Hațieganu University of Medicine and Pharmacy pays non établi dans la noticeUniversité ou école supérieure
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Technical University of Cluj-Napoca pays non établi dans la noticeUniversité ou école supérieure
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Institutul Regional de Gastroenterologie Prof. Dr. Octavian Fodor pays non établi dans la noticeÉtablissement de santé
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Tel Aviv University pays non établi dans la noticeUniversité ou école supérieure
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Sheba Medical Center pays non établi dans la noticeÉtablissement de santé
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Assuta Medical Center pays non établi dans la noticeÉtablissement de santé
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“Iuliu Hatieganu” University of Medicine and Pharmacy Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Emergency Clinical County Hospital pays non établi dans la noticeÉtablissement de santé
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Faculty of Industrial Engineering CESTER Department pays non établi dans la noticeUniversité ou école supérieure
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“Octavian Fodor” Regional Institute of Gastroenterology and Hepatology pays non établi dans la noticeStructure de recherche
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Assia Medical pays non établi dans la noticeInstitution
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Sheba Medical Centre and School of Medicine pays non établi dans la noticeUniversité ou école supérieure
Iuliu Hațieganu University of Medicine and Pharmacy, Technical University of Cluj-Napoca et Institutul Regional de Gastroenterologie Prof. Dr. Octavian Fodor, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.