You have accessJournal of UrologyCME1 Apr 2023MP26-04 DEVELOPMENT OF VIRTUAL REALITY (VR) SIMULATION OF ROBOT-ASSISTED PARTIAL NEPHRECTOMY USING METAVERSE Atsushi Okada, Kazuya Ohashi, Yuya Ota, Teruaki Sugino, Shoichiro Iwatsuki, Toshiki Etani, Kazumi Taguchi, Taku Naiki, Shuzo Hamamoto, Ryosuke Ando, Noriyasu Kawai, Keiichi Tozawa, and Takahiro Yasui Atsushi OkadaAtsushi Okada More articles by this author , Kazuya OhashiKazuya Ohashi More articles by this author , Yuya OtaYuya Ota More articles by this author , Teruaki SuginoTeruaki Sugino More articles by this author , Shoichiro IwatsukiShoichiro Iwatsuki More articles by this author , Toshiki EtaniToshiki Etani More articles by this author , Kazumi TaguchiKazumi Taguchi More articles by this author , Taku NaikiTaku Naiki More articles by this author , Shuzo HamamotoShuzo Hamamoto More articles by this author , Ryosuke AndoRyosuke Ando More articles by this author , Noriyasu KawaiNoriyasu Kawai More articles by this author , Keiichi TozawaKeiichi Tozawa More articles by this author , and Takahiro YasuiTakahiro Yasui More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003254.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We have developed a virtual reality (VR) simulation for safe performance for robot-assisted partial nephrectomy (RAPN). In order to share VR images with the surgical team, we developed a simulation that utilizes the virtual space (Metaverse). METHODS: Stereolithography (STL) files of skin, bone, renal parenchyma after nephrectomy, tumor, resection margin, artery, vein, and urinary tract were created from preoperative contrast-enhanced CT using the Ziostation®2 medical imaging workstation. Along with these files, we also integrated the STLs of 4 virtual trocars and a 7 cm virtual sphere for port-to-port measurements in the application Holoeyes XR. Three to four doctors wore immersive 3D goggles and became avatars in the metaverse to observe patient anatomy constructed in VR. RESULTS: In the Metaverse, not only did all doctors simultaneously observe the patient's unique three-dimensional anatomy as avatars, but there were also scenes where instructors instructed surgeons on approach methods. We were able to discuss the method of suturing from the location of the vessels and urinary collecting system exposed on the resected surface by partial nephrectomy. In addition, the virtual trocars could be used to determine the optimal port position for da Vinci operation. CONCLUSIONS: VR simulation for RAPN using Metaverse was shown to be useful not only for achieving safe surgery by sharing information about the surgical process with the team, but also for surgeon education. Source of Funding: Japanese Society of Endourology Grant © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e353 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Atsushi Okada More articles by this author Kazuya Ohashi More articles by this author Yuya Ota More articles by this author Teruaki Sugino More articles by this author Shoichiro Iwatsuki More articles by this author Toshiki Etani More articles by this author Kazumi Taguchi More articles by this author Taku Naiki More articles by this author Shuzo Hamamoto More articles by this author Ryosuke Ando More articles by this author Noriyasu Kawai More articles by this author Keiichi Tozawa More articles by this author Takahiro Yasui More articles by this author Expand All Advertisement PDF downloadLoading ...
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