V08-06: Validation of a full-immersion simulation platform with performance metrics for robotic radical pros

V08-06: Validation of a full-immersion simulation platform with performance metrics for robotic radical prostatectomy (RARP) using three-dimensional printing and hydrogel molding technology

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INTRODUCTION

Surgical education is dependent on live patients for operative exposure and cultivation of surgical technique. Robotic assisted radical prostatectomy is a unique surgery requiring both oncologic and functional outcomes for success. The steep learning curve of nerve-sparing prostatectomy provides a significant need for surgical education outside of the live patient operative room exposure. In our study, we validate a high-fidelity, inanimate robotic assisted nerve-sparing prostatectomy model within a full-immersion simulation environment using Clinically-relevant Performance Metrics (CRPMs).

METHODS

Anatomically accurate models of the human pelvis, bladder, prostate, urethra, neurovascular bundle (NVB) and relevant adjacent structures were created form a patients MRI using polyvinyl alcohol (PVA) hydrogels and three-dimensional-printed injection molds. Pertinent steps of the nerve-sparing prostatectomy were simulated: bladder neck dissection, seminal vesicle mobilization, nerve-sparing prostatectomy and urethra-vesical anastomosis. Five experts (>500 caseload) and 10 novices were (