Use of 3-Dimensional Printing Technology and Silicone Modeling in Surgical Simulation: Development and Face Validation in Pediatric Laparoscopic Pyeloplasty

Cheung, Carling; Looi, Thomas; Lendvay, Thomas S.; Drake, James M.; Farhat, Walid A.

doi:10.1016/j.jsurg.2014.03.001

Cited by 144 publications

(102 citation statements)

References 12 publications

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“…With the advent of three-dimensional (3D) printing, high-fidelity laparoscopic simulators can accurately recreate complicated procedures under realistic condition (6). For example, 3D printing technology has been incorporated into hyper-realistic training models for laparoscopic pyeloplasty, thoracoscopic esophageal atresia repair and other minimally invasive surgeries (6,36). Recently, 3D printing has been used to create patientspecific models for preoperative planning of complicated procedures (37).…”

Section: Bench-top and Laparoscopic Box Simulatorsmentioning

confidence: 99%

Innovations in surgery simulation: a review of past, current and future techniques

Badash¹,

Burtt²,

Solorzano³

et al. 2016

Ann. Transl. Med.

260

165

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As a result of recent work-hours limitations and concerns for patient safety, innovations in extraclinical surgical simulation have become a desired part of residency education. Current simulation models, including cadaveric, animal, bench-top, virtual reality (VR) and robotic simulators are increasingly used in surgical training programs. Advances in telesurgery, three-dimensional (3D) printing, and the incorporation of patient-specific anatomy are paving the way for simulators to become integral components of medical training in the future.Evidence from the literature highlights the benefits of including simulations in surgical training; skills acquired through simulations translate into improvements in operating room performance. Moreover, simulations are rapidly incorporating new medical technologies and offer increasingly high-fidelity recreations of procedures. As a result, both novice and expert surgeons are able to benefit from their use. As dedicated, structured curricula are developed that incorporate simulations into daily resident training, simulated surgeries will strengthen the surgeon's skill set, decrease hospital costs, and improve patient outcomes.

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Section: Bench-top and Laparoscopic Box Simulatorsmentioning

confidence: 99%

Innovations in surgery simulation: a review of past, current and future techniques

Badash¹,

Burtt²,

Solorzano³

et al. 2016

Ann. Transl. Med.

260

165

View full text Add to dashboard Cite

show abstract

“…It can also provide an opportunity to students to learn with their mistakes and practice in complex cases. Recently, with the advance of 3D printers, surgical cases is practiced in advance [13][14][15]. Moreover, 3D printers can assist in the teaching of various aspects of medical training in both undergraduate and postgraduate medical training [16].…”

Section: Simulated Training As a Teaching Strategymentioning

confidence: 99%

Centros de simulação e projeto pedagógico: dois lados da mesma moeda

Brandão

Carvalho-Filho²,

Cecílio-Fernandes

2018

Sci Med

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AIMS: This article discusses the main issues related to the use and structuring of a simulation center, namely, logistics, use of resources and alignment between the pedagogical project and simulated activities. METHODS: A narrative literature review, with search in Web of Science, PubMed, SciELO and Google Scholar databases, included articles published up to June 2017. RESULTS: Medical simulation has been implemented in the health courses for training and assessment. Because of this implantation, many simulation centers have been created, involving a high cost for the construction as well as the maintenance. Many of the simulation centers have a low acceptance from teachers and students, letting them underused, especially when the methodology is not correctly implemented. The simulation centers will become important when they are aligned with the pedagogical planning. Planning a simulation center is a timeconsuming task, which requires visiting another simulation center to avoid major adjustments afterwards. It is important to identify the target group and the usage of the simulation center on the pedagogical planning to define the number of users and the type of structure. Also, it is necessary to identify the type of simulators the simulation center will use. Faculty development and multiple disciplinary teams are required. The lack of faculty development is one of the reasons of the underuse of the simulation center. Besides faculty development, other ways of optimize the simulation center is research and partnership between medical school and hospital. Medical school will have funding opportunities and interaction with society. The hospital will qualify their employees and increase the safety of their patients. While conducting the budget, there is a need to consider all those points, since only the physical space and the simulators are not sufficient for a good simulation center. CONCLUSIONS: The integration between education, research and assistance, and the alignment with the pedagogical project are of utmost importance for the use of simulation in healthcare, and essential for the development of new training and knowledge.KEYWORDS: simulation; medical education; patient safety, curriculum; healthcare professional education. RESUMOObservaçãO: a versão em português do artigo completo está disponível na mesma página eletrônica. OBJETIVOS: Discutir as principais questões relacionadas ao uso e estruturação de um centro de simulação: logística, aproveitamento dos recursos e alinhamento entre o projeto pedagógico e as atividades simuladas. MÉTODOS: Revisão narrativa da literatura, com busca nas bases de dados Web of Science, PubMed, SciELO e Google Scholar, incluiu artigos publicados até junho de 2017. RESULTADOS: A simulação médica tem sido inserida nos cursos da área de saúde tanto para treinamento quanto para avaliação. Com isso, houve um grande aumento de centros de simulação, os quais envolvem um alto custo tanto para sua infraestrutura geral e especificidades como para manutenção. Muitas vezes os...

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“…Theirs were also produced from a 3D printed solid mould in order to allow quick production of multiple models using Dragon-skin rubber. Both delegates and experts at their trial gave positive reviews for likeness to the real thing and usefulness of the simulation [14].…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

3D printing to simulate laparoscopic choledochal surgery

Burdall

Makin

Davenport

et al. 2016

Journal of Pediatric Surgery

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Aims of the Study:Laparoscopic simulation has transformed skills acquisition for many procedures. However, realistic non-biological simulators for complex reconstructive surgery are rare. Life-like tactile feedback is particularly difficult to reproduce. Technological innovations may contribute novel solutions to these shortages. We describe a hybrid model, harnessing 3D technology to simulate laparoscopic choledochal surgery for the first time. Methods:Digital hepatic anatomy images and standard laparoscopic trainer dimensions were employed to create an entry level laparoscopic choledochal surgery model. The information was fed into a 3D systems project 660pro with visijet pxl core powder to create a free standing liver mould. This included a cuboid portal in which to slot disposable hybrid components representing hepatic and pancreatic ducts and choledochal cyst. The mould was used to create soft silicone replicas with T28 resin and T5 fast catalyst. The model was assessed at a national pediatric surgery training day. Results:The 10 delegates that trialed the simulation felt that the tactile likeness was good (5.6/10 +/-1.71, 10=like the real thing), was not too complex (6.2/10 +/-1.35; where 1=too simple, 10=too complicated), and generally very useful (7.36/10 +/-1.57, 10=invaluable). 100% stated that they felt they could reproduce this in their own centres, and 100% would recommend this simulation to colleagues. Conclusion:Though this first phase choledochal cyst excision simulation requires further development, 3D printing provides a useful means of creating specific and detailed simulations for rare and complex operations with huge potential for development.

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Use of 3-Dimensional Printing Technology and Silicone Modeling in Surgical Simulation: Development and Face Validation in Pediatric Laparoscopic Pyeloplasty

Cited by 144 publications

References 12 publications

Innovations in surgery simulation: a review of past, current and future techniques

Innovations in surgery simulation: a review of past, current and future techniques

Centros de simulação e projeto pedagógico: dois lados da mesma moeda

3D printing to simulate laparoscopic choledochal surgery

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