409 TRAINING COURSE FOR 3D-AUGMENTED REALITY IN ROBOTIC PARTIAL NEPHRECTOMY Dr Daniele Amparore

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This video is being presented at the Humans at the Cutting Edge of Robotic Surgery Symposium 2024, Jaipur, India. It was produced by Dr Daniele Amparore, Division of Urology, Department of Oncology, University of Turin, Italy.
Abstract:
TRAINING COURSE FOR 3D-AUGMENTED REALITY IN ROBOTIC PARTIAL NEPHRECTOMY
1D. Amparore, 1A. Piana, 2R. Campi, 3S. Pulia4, 1F. Piramide, 4E. Checcucci, 1A. Bellin, 1S. Barbuto,
1S. De Cillis, 4G. Volpi, 5M. Olimpo, 1C. Fiori, 1F. Porpiglia
1Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin,
Turin, Italy
2Unit of Urological Robo/c Surgery and Renal Transplanta/on, Careggi Hospital, University of
Florence, Florence, Italy
3Division of Urology, University of Modena and Reggio Emilia, Modena, Italy
4Department of Surgery, Candiolo Cancer InsLtute, FPO-IRCCS, Turin, Italy
5Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy
Introduction:
Aim of the study is to set-up a dedicated course on 3D virtual models (3DVM) and augmented reality
(AR) for partial nephrectomy in a porcine model.
Materials and Methods
It consists of hands-on sec/ons with dry and wet lab exercises. Defined metrics ensure learning path
based on Proficiency-Based-Progression Methodology. The initial two modules, overseen by
bioengineers, instruct surgeons to generate a 3DVM from 2D-images, as well as its handling using
3D-mouse and the ICON3d rack. For the wet lab module, a case-specific virtual reconstruction from
contrast enhanced CT-scans of the animal undergoing surgery is required. Within the training
operative room the ICON3d system is connected to the robotic console, to allow the trainee-surgeon
to visualize the 3DVM by using TilePro. The five intraoperative exercises include overlaying the 3DVM
onto the real kidney, the delineation of a virtual renal mass placed within the 3DVM by burning the
surface of the real organ with monopolar scissors, the selective clamping of the arterial branch of
interest, the resection of the renal parenchyma previously delineated under AR-guidance, the
suture of the resection bed guided by virtual dots at the margins of the parenchymal incision.
Results
3 trainee surgeons were involved in the pilot AR-Course study under the supervision of three trainer
surgeons and two bio-engineers. 3 porcine models underwent AR-RAPN. All the exercises were
successfully completed.
Conclusions
The training course on 3DVM and AR for porcine robotic partial nephrectomy has been set and
tested, demonstrating efficacy in training the surgeons to AR technology.
See more at: http://vattikutifoundation.com/
Category
Urology
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