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用于内镜辅助下颌下腺切除的虚拟现实训练系统的开发。

Development of a virtual reality training system for endoscope-assisted submandibular gland removal.

作者信息

Miki Takehiro, Iwai Toshinori, Kotani Kazunori, Dang Jianwu, Sawada Hideyuki, Miyake Minoru

机构信息

Department of Oral and Maxillofacial Surgery (Dean: K. Imaida), Faculty of Medicine/Graduate School of Medicine, Kagawa University, 1750-1, Ikenobe, Miki-cyo, Takamatsu City, Kagawa 761-0793, Japan.

Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Yokohama, Kanagawa 236-0004, Japan.

出版信息

J Craniomaxillofac Surg. 2016 Nov;44(11):1800-1805. doi: 10.1016/j.jcms.2016.08.018. Epub 2016 Aug 31.

DOI:10.1016/j.jcms.2016.08.018
PMID:27713053
Abstract

PURPOSE

Endoscope-assisted surgery has widely been adopted as a basic surgical procedure, with various training systems using virtual reality developed for this procedure. In the present study, a basic training system comprising virtual reality for the removal of submandibular glands under endoscope assistance was developed. The efficacy of the training system was verified in novice oral surgeons.

MATERIAL AND METHODS

A virtual reality training system was developed using existing haptic devices. Virtual reality models were constructed from computed tomography data to ensure anatomical accuracy. Novice oral surgeons were trained using the developed virtual reality training system.

RESULTS

The developed virtual reality training system included models of the submandibular gland and surrounding connective tissues and blood vessels entering the submandibular gland. Cutting or abrasion of the connective tissue and manipulations, such as elevation of blood vessels, were reproduced by the virtual reality system. A training program using the developed system was devised. Novice oral surgeons were trained in accordance with the devised training program.

CONCLUSIONS

Our virtual reality training system for endoscope-assisted removal of the submandibular gland is effective in the training of novice oral surgeons in endoscope-assisted surgery.

摘要

目的

内窥镜辅助手术已被广泛采用作为一种基本的外科手术,针对该手术开发了各种使用虚拟现实的培训系统。在本研究中,开发了一种包含虚拟现实的基础培训系统,用于在内窥镜辅助下切除下颌下腺。在新手口腔外科医生中验证了该培训系统的有效性。

材料与方法

使用现有的触觉设备开发了一种虚拟现实培训系统。根据计算机断层扫描数据构建虚拟现实模型,以确保解剖学准确性。使用开发的虚拟现实培训系统对新手口腔外科医生进行培训。

结果

开发的虚拟现实培训系统包括下颌下腺以及进入下颌下腺的周围结缔组织和血管的模型。虚拟现实系统再现了结缔组织的切割或磨损以及诸如血管抬高之类的操作。设计了使用开发系统的培训计划。根据设计的培训计划对新手口腔外科医生进行培训。

结论

我们用于内窥镜辅助切除下颌下腺的虚拟现实培训系统在新手口腔外科医生的内窥镜辅助手术培训中是有效的。

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