V4-12 SIMULATION MODEL FOR ULTRASOUND AND FLUOROSCOPY GUIDED PERCUTANEOUS RENAL ACCESS: STEP BY STEP TUTORIAL

Abstract

You have accessJournal of UrologyImaging/Uroradiology1 Apr 2017V4-12 SIMULATION MODEL FOR ULTRASOUND AND FLUOROSCOPY GUIDED PERCUTANEOUS RENAL ACCESS: STEP BY STEP TUTORIAL Manuel Carballo-Quinta, Sabela López-García, Máximo Castro-Iglesias, Grethel Rivas-Dangel, Sheila Almúster-Domínguez, Moisés Elías Rodríguez-Socarrás, Miguel Pérez-Schoch, Jorge Sánchez-Ramos, María Elena López-Díez, and Antonio Ojea-Calvo Manuel Carballo-QuintaManuel Carballo-Quinta More articles by this author , Sabela López-GarcíaSabela López-García More articles by this author , Máximo Castro-IglesiasMáximo Castro-Iglesias More articles by this author , Grethel Rivas-DangelGrethel Rivas-Dangel More articles by this author , Sheila Almúster-DomínguezSheila Almúster-Domínguez More articles by this author , Moisés Elías Rodríguez-SocarrásMoisés Elías Rodríguez-Socarrás More articles by this author , Miguel Pérez-SchochMiguel Pérez-Schoch More articles by this author , Jorge Sánchez-RamosJorge Sánchez-Ramos More articles by this author , María Elena López-DíezMaría Elena López-Díez More articles by this author , and Antonio Ojea-CalvoAntonio Ojea-Calvo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.911AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Percutaneous renal access has been a leading toping in urology for years, given the widespread use of nephrostomy and percutaneous nephrolitotomy (PCNL). Systematic training routine is known to be helpful in laparoscopic and robotic surgery in order to shorten the learning curve. Nevertheless, there is a shortage of training models regarding percutaneous renal access. METHODS We present materials and methods to build a percutaneous renal access model. We propose a homemade devise that allows training using simulated fluoroscopy guided puncture, contributing to shorten learning curve and reduce radiation during this period. Using jelly, our model permits practising the ultrasound guided puncture, both combined with simulated fluoroscopy or independently. In order to make our simulator, we use materials available in any home improvement store. RESULTS The materials required to make our model cost less than 130 euros. About 3 hours are required to set up the simulator. We have built a structure that allows rotation and permits fluoroscopy guided puncture at 0 and 30 degrees angle, as the standard technique to identify the position of the needle in the upper-lower and anterior-posterior axis. Furthermore, our simulator permits using simultaneously ultrasound guidance. We have improved imaging using a pinhole system and reflected light in order to avoid magnifying of movements of the needle. With our proposal, we can restore and re-use the jelly puncture model, thereby clearing any puncture tracks. CONCLUSIONS There is a scarcity of training models covering renal kidney access, one of the main topics in urological surgical access. The lack of simulation sessions results in longer learning curve and additional exposure to ionizing radiation. We propose a complete, versatile and effective model to train both the fluoroscopy and the ultrasound guided renal access. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e379 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Manuel Carballo-Quinta More articles by this author Sabela López-García More articles by this author Máximo Castro-Iglesias More articles by this author Grethel Rivas-Dangel More articles by this author Sheila Almúster-Domínguez More articles by this author Moisés Elías Rodríguez-Socarrás More articles by this author Miguel Pérez-Schoch More articles by this author Jorge Sánchez-Ramos More articles by this author María Elena López-Díez More articles by this author Antonio Ojea-Calvo More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...