Virtual reality simulation for surgery: from video games to transanal total mesorectal excision

Martin‐Perez, B.; Bennis, H.; Lacy, Antonio M.

doi:10.1007/s10151-017-1738-1

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…High-quality training using preclinical simulation, observation, proctoring, and mentorship can potentially prepare surgeons to perform taTME. 39,[48][49][50] Step-by-step technical articles have been published describing the steps of a taTME. 47 After studying simulation proctored by an expert in taTME allows the entire surgical team to perform a laparoscopic-assisted LAR, taTME, and diverting loop ileostomy from start to finish before their first clinical case.…”

Section: Discussionmentioning

confidence: 99%

Transanal Total Mesorectal Excision (taTME) for Rectal Cancer: A Case Series Report of a Natural Orifice Surgical Technique

Basam

Tsay

Attaluri

et al. 2018

The American Surgeon™

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In the treatment of colorectal cancer, total mesorectal excision (TME) has risen as the gold standard in the surgical treatment of this disease in order to obtain negative distal and circumferential radial margins. Since introduction in 2010, transanal TME has aimed to decrease the rate of positive margins and improve the quality of the dissection while decreasing the complications associated with a transabdominal low pelvic dissection. We retrospectively reviewed 25 cases of transanal TME completed between December 2014 and August 2017. Most of the patients in our case series were male (60%) with an average age of 57.1 years, BMI of 28.4 kg/m2, and with an American Society of Anesthesiologists score of II. The average tumor was midrectal (about 5.9 cm from the anal verge), clinically T3-T4 (92%), and had undergone neoadjuvant therapy (96%). The average operation was about six hours and 44 minutes with ileostomy placed most of the time (92%). In all the cases where the TME quality was graded, the specimens were reported to have been complete (grade I). There were no positive distal, radial, or proximal margins. The average hospital stay was about 5.9 days. The rate of minor complications was about 48 per cent and major complications occurred about 16 per cent of the time.

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Section: Discussionmentioning

confidence: 99%

Transanal Total Mesorectal Excision (taTME) for Rectal Cancer: A Case Series Report of a Natural Orifice Surgical Technique

Basam

Tsay

Attaluri

et al. 2018

The American Surgeon™

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“…In VR, the user has the ability to decide where to look and how to navigate. 101 VR training tools have been shown to improve the laparoscopic skills of both inexperienced and experienced surgeons. 102 In the market, there are already multiple devices with mixed-reality applications, such as the Microsoft Holo-Lens (Microsoft, Redmond, WA), Oculus Rift, and the HTC Vive Virtual Reality System.…”

Section: Surgical Simulationmentioning

confidence: 99%

“…Martin-Perez et al describe the future applications of VR combined with 3D patient-specific models will help in planning and preoperative simulation, as well as locating essential structures to avoid injury during TaTME. 101 The ability to create patient-specific VR and 3D printed models has been demonstrated. 104,105 Once in the operating room, these images can guide surgical navigation, enhancing the surgeons' view of the operating field by combining the visual field with the radiology images-the ultimate teaching model.…”

Section: Surgical Simulationmentioning

confidence: 99%

“…104,105 Once in the operating room, these images can guide surgical navigation, enhancing the surgeons' view of the operating field by combining the visual field with the radiology images-the ultimate teaching model. 101 Complimentary developing technologies, such as fluorophores, specialized VR glasses, and an augmented hand could help improve the procedure and outcomes of the TaTME. 106 The capabilities have been described by Atallah et al, with a feasibility and pilot study performed using stereotactic image-guided navigation surgery for an augmented working environment for complex TaTME.…”

Section: Surgical Simulationmentioning

confidence: 99%

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Education and Training in Transanal Endoscopic Surgery and Transanal Total Mesorectal Excision

Keller

Lacy

Hompes

2021

Clin Colon Rectal Surg

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There is a paradigm shift in surgical training, and new tool and technology are being used to facilitate mastery of the content and technical skills. The transanal procedures for rectal cancer—transanal endoscopic surgery (TES) and transanal total mesorectal excision (TaTME)—have a distinct learning curve for competence in the procedures, and require special training for familiarity with the “bottom-up” anatomy, procedural risks, and managing complex cases. These procedures have been models for structured education and training, using multimodal tools, to ensure safe implementation of TES and TaTME into clinical practice. The goal of this work was to review the current state of surgical education, the introduction and learning curve of the TES and TaTME procedures, and the established and future models for education of the transanal procedures for rectal cancer.

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“…Their higher price and necessary maintenance make them less available. Several literature reviews and randomized trials have demonstrated the benefit of electronic simulators compared to traditional coaching for the acquisition of technical skills [12,13,14]. Some simulators offer an even more complete experience.…”

Section: Iic2) Electronic Simulatorsmentioning

confidence: 99%

Surgical apprenticeship in the era of simulation

Berte

Perrenot

2020

Journal of Visceral Surgery

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Virtual reality simulation for surgery: from video games to transanal total mesorectal excision

Cited by 6 publications

References 12 publications

Transanal Total Mesorectal Excision (taTME) for Rectal Cancer: A Case Series Report of a Natural Orifice Surgical Technique

Transanal Total Mesorectal Excision (taTME) for Rectal Cancer: A Case Series Report of a Natural Orifice Surgical Technique

Education and Training in Transanal Endoscopic Surgery and Transanal Total Mesorectal Excision

Surgical apprenticeship in the era of simulation

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