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3D 重建打印模型和虚拟现实技术改善了肿瘤性结直肠手术的教学效果。

3D-reconstruction printed models and virtual reality improve teaching in oncological colorectal surgery.

作者信息

García-Granero Á, Jerí-McFarlane S, Torres-Marí N, Brogi L, Ferrà-Canet M, Navarro Zoroa M Á, Gamundí-Cuesta M, González-Argenté F X

机构信息

Colorectal Unit, General & Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.

Instituto de Investigación Sanitaria Illes Balears (IdISBa), Palma de Mallorca, Spain.

出版信息

Tech Coloproctol. 2024 Dec 19;29(1):24. doi: 10.1007/s10151-024-03074-3.

DOI:10.1007/s10151-024-03074-3
PMID:39699719
Abstract

BACKGROUND

This study aimed to evaluate the use of 3D image processing and reconstruction (3D-IPR) combined with virtual reality (VR) technology and printed models (PM) as teaching tools in oncological colorectal surgery.

METHODS

We designed two courses, one for general surgery trainees and another for young colorectal surgeons, structured around stations of pre-test, anatomical lessons, real-case presentations, 3D-IPR models, VR experiences, and life-size abdominal PM with surgical approach explanations and a final post-test.

RESULTS

Fourteen course participants were evaluated. Pre-test scores averaged 5.15, with a median of 5.5, while post-test scores increased to an average of 7.75, with a median score of 8. Course satisfaction surveys indicated high ratings for expectations, duration, relevance, presenter knowledge, teaching materials, communication, and overall course segments, with an average rating exceeding 4.8 out of 5. Results highlight the potential of 3D-IPR, VR, and PM as tools for improving teaching for surgery residents and colorectal surgeons. These technologies offer immersive, risk-free experiences for learners, potentially enhancing skill acquisition and anatomical understanding.

CONCLUSION

This study demonstrates the effectiveness of 3D-IPR, VR, and PM courses in improving understanding of colorectal surgery. As these technologies continue to advance, they offer enhanced immersion and accessibility, transforming surgical education and medical training.

摘要

背景

本研究旨在评估三维图像处理与重建(3D-IPR)联合虚拟现实(VR)技术及实体模型(PM)作为肿瘤结直肠手术教学工具的应用效果。

方法

我们设计了两门课程,一门针对普通外科住院医师,另一门针对年轻的结直肠外科医生,课程围绕预测试、解剖学课程、真实病例展示、3D-IPR模型、VR体验、带有手术入路讲解的真人大小腹部实体模型以及最后的后测试等环节展开。

结果

对14名课程参与者进行了评估。预测试平均成绩为5.15分,中位数为5.5分,而后测试成绩平均提高到7.75分,中位数为8分。课程满意度调查显示,在期望、时长、相关性、主讲人知识、教材、沟通以及整体课程环节方面的评分都很高,平均评分超过了5分中的4.8分。结果凸显了3D-IPR、VR和实体模型作为提高外科住院医师和结直肠外科医生教学效果工具的潜力。这些技术为学习者提供了沉浸式、无风险的体验,有可能增强技能获取和解剖学理解。

结论

本研究证明了3D-IPR、VR和实体模型课程在提高结直肠手术理解方面的有效性。随着这些技术的不断进步,它们提供了更强的沉浸感和可及性,正在改变外科教育和医学培训。

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本文引用的文献

1
A systematic review of the application of 3D-printed models to colorectal surgical training.3D 打印模型在结直肠外科手术培训中的应用的系统评价。
Tech Coloproctol. 2023 Apr;27(4):257-270. doi: 10.1007/s10151-023-02757-7. Epub 2023 Feb 4.
2
The effectiveness of using 3D reconstruction software for surgery to augment surgical education.使用 3D 重建软件进行手术以增强手术教育的效果。
Am J Surg. 2019 Nov;218(5):1016-1021. doi: 10.1016/j.amjsurg.2019.07.045. Epub 2019 Aug 6.
3
Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery.
3D 打印肠系膜上血管模型在右半结肠扩大 D3 系膜切除术手术规划和/或导航中的应用:虚拟模型和物理模型与手术中发现的解剖结构的比较。
Surg Endosc. 2019 Feb;33(2):567-575. doi: 10.1007/s00464-018-6332-8. Epub 2018 Jul 16.