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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">urovest</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник урологии</journal-title><trans-title-group xml:lang="en"><trans-title>Urology Herald</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2308-6424</issn><publisher><publisher-name>Rostov State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21886/2308-6424-2023-11-3-23-34</article-id><article-id custom-type="elpub" pub-id-type="custom">urovest-753</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Сравнительная оценка использования тренажёров для отработки навыков пункции полостной системы почки под рентгенологическим контролем</article-title><trans-title-group xml:lang="en"><trans-title>Comparative evaluation of simulators for practising fluoroscopy-guided renal pelvic puncture</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6255-0193</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаджиев</surname><given-names>Н. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Gadzhiev</surname><given-names>N. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нариман Казиханович Гаджиев — д-р мед. наук; заместитель директора по медицинской части (урология)</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Nariman K. Gadzhiev — M.D., Dr.Sc.(Med); Deputy CEO for Medical Care Organization</p><p>St. Petersburg</p></bio><email xlink:type="simple">nariman.gadjiev@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7592-8167</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горелов</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Gorelov</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дмитрий Сергеевич Горелов — врач-уролог отделения дистанционной литотрипсии и эндовидеохирургии НИЦ урологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dmitry S. Gorelov — M.D.; Urologist, ESWL and Endovideosurgery Division, Research Center of Urology</p><p>St. Petersburg</p></bio><email xlink:type="simple">dsgorelov@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7939-4062</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мищенко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mishchenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Александра Андреевна Мищенко — врач-уролог отделения дистанционной литотрипсии и эндовидеохирургии НИЦ урологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Alexandra A. Mishchenko — M.D.; Urologist, ESWL and Endovideosurgery Division, Research Center of Urology</p><p>St. Petersburg</p></bio><email xlink:type="simple">amischenko995@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5633-9164</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бритов</surname><given-names>В. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Britov</surname><given-names>V. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владислав Павлович Бритов — д-р тех. наук, профессор; заведующий кафедрой оборудования и робототехники переработки пластмасс</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Vladislav P. Britov — Dr.Sc. (Engineering), Full Prof., Head, Dept. of Equipment and Technology of Plastics Processing</p><p>St. Petersburg</p></bio><email xlink:type="simple">deaf14@rambler.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-6149-6041</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Харчилава</surname><given-names>Р. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kharchilava</surname><given-names>R. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Реваз Ревазович Харчилава — канд. мед. наук; директор учебного центра врачебной практики</p><p>Москва</p></bio><bio xml:lang="en"><p>Revaz R. Kharchilava — M.D., Cand.Sc.(Med), Director, “Praxi Medica” Medical Practice Training Center</p><p>Moscow</p></bio><email xlink:type="simple">dr.revaz@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-3949-5674</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шарафутдинов</surname><given-names>Э. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharafutdinov</surname><given-names>E. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Эльдар Фаридович Шарафутдинов — ассистент кафедры урологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Eldar F. Sharafutdinov — M.D.; Assist.Prof., Dept. of Urology</p><p>St. Petersburg</p></bio><email xlink:type="simple">sharafel@gmail.com</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3460-3427</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петров</surname><given-names>С. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrov</surname><given-names>S.  B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергей Борисович Петров — д-р мед. наук, профессор; руководитель НИЦ урологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Sergey B. Petrov — M.D., Dr.Sc.(Med); Full Prof.; Head, Research Center of Urology</p><p>St. Petersburg</p></bio><email xlink:type="simple">petrov-uro@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0489-3451</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкарупа</surname><given-names>Д. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkarupa</surname><given-names>D. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дмитрий Дмитриевич Шкарупа — д-р мед. наук; директор</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dmitry D. Shkarupa — M.D., Dr.Sc.(Med); Director</p><p>St. Petersburg</p></bio><email xlink:type="simple">shkarupa.dmitry@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Клиника высоких медицинских технологий им. Н. И. Пирогова — Санкт-Петербургский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Clinic of Advanced Medical Technologies (SPSU Hospital), St. Petersburg State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет им. академика И. П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First State Medical University of St. Petersburg</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный технологический институт (Технический университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Petersburg State Institute of Technology (Technical University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет им. И. М. Сеченова (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный педиатрический медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Petersburg State Pediatric Medical</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>04</day><month>10</month><year>2023</year></pub-date><volume>11</volume><issue>3</issue><fpage>23</fpage><lpage>34</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гаджиев Н.К., Горелов Д.С., Мищенко А.А., Бритов В.П., Харчилава Р.Р., Шарафутдинов Э.Ф., Петров С.Б., Шкарупа Д.Д., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Гаджиев Н.К., Горелов Д.С., Мищенко А.А., Бритов В.П., Харчилава Р.Р., Шарафутдинов Э.Ф., Петров С.Б., Шкарупа Д.Д.</copyright-holder><copyright-holder xml:lang="en">Gadzhiev N.K., Gorelov D.S., Mishchenko A.A., Britov V.P., Kharchilava R.R., Sharafutdinov E.F., Petrov S.B., Shkarupa D.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.urovest.ru/jour/article/view/753">https://www.urovest.ru/jour/article/view/753</self-uri><abstract><sec><title>Введение</title><p>Введение. Навык пункции полостной системы почки является базовым для урологов, так как применяется для различных оперативных вмешательств и диагностических манипуляций. Для обучения существуют множество моделей, начиная от лабораторных животных, заканчивая тренажёрами виртуальной реальности.</p></sec><sec><title>Цель исследования</title><p>Цель исследования. Оценить отечественную небиологическую модель тренажёра для пункции чашечно-лоханочной системы УроАТОМ («Альфа-Ритм», Россия), а также сравнить его с тренажёром виртуальной реальности PERC MentorTM (“Simbionix”, Beit Golan, Israel).</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведён анализ результатов обучения навыку пункции под рентгеноскопическим контролем среди 50 врачей. Доктора по опыту были разделены на две равные группы: группа 1 — начинающие, группа 2 — опытные. На первом этапе оба тренажёра были оценены докторами при помощи опросников Likert. На втором этапе оценивались показатели пункции в группе 1 до и после практики на тренажёре.</p></sec><sec><title>Результаты</title><p>Результаты. При сравнении показателей обоих тренажёров было отмечено, что тренажёр УроАТОМ оценили как более удобный в использовании (p = 0,0001) и более дешёвый (p &lt; 0,0001). Анализ показателей пункции чашечно-лоханочной системы «начинающими» специалистами до и после тренировки на тренажёре УроАТОМ выявил статистически значимое их улучшение. Показатель времени пункции улучшился на 79 секунд. Показатель длительности рентгеноскопии уменьшился на 40,9 секунд. Количество попыток пункции уменьшилось на 1,4 раза. Количество затраченного контраста уменьшилось на 5,4 мл.</p></sec><sec><title>Заключение</title><p>Заключение. Отечественный тренажёр УроАТОМ является эффективным для обучения молодых специалистов навыку пункции полостной системы почки под рентгеноскопическим контролем.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. The skill of puncture of the kidney pelvicalyceal system is one of the basic urological skills, as it is used for various surgical interventions. There are different training models, from laboratory animals to virtual reality simulators.</p></sec><sec><title>Objective</title><p>Objective. To evaluate a non-biological model of the pelvicalyceal system puncture simulator UroATOM (“Alfa-Rhythm”, Russian Federation) and to compare it with a virtual reality simulator PERC MentorTM (“Simbionix”, Beit Golan, Israel).</p></sec><sec><title>Materials &amp; methods</title><p>Materials &amp; methods. The results of fluoroscopic guided puncture training were analyzed among 50 physicians. The specialists were divided into two equal groups by experience: group 1 — beginners, group 2 — experienced urologists. In phase 1, both simulators were evaluated by the physicians using Likert questionnaires. In phase 2, the puncture results in beginners were evaluated before and after the UroATOM simulator practise.</p></sec><sec><title>Results</title><p>Results. Comparing the indices of both simulators showed that UroATOM was rated as more convenient to use (p = 0.0001) and cheaper (p &lt; 0.0001). The analysis of the puncture performance by "beginners" before and after UroATOM training revealed a statistically significant improvement in the performance. The puncture time index improved by 79 seconds. The index of fluoroscopy duration decreased by 40.9 seconds. The number of puncture attempts decreased by 1.4 times. The amount of contrast decreased by 5.4 ml.</p></sec><sec><title>Conclusions</title><p>Conclusions. The UroATOM simulator is effective for training young specialists in fluoroscopy-guided renal cavity puncture.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>почки</kwd><kwd>симулятор</kwd><kwd>чрескожный доступ</kwd><kwd>обучение</kwd><kwd>пункция</kwd><kwd>рентгеноскопия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>kidneys</kwd><kwd>simulator</kwd><kwd>percutaneous access</kwd><kwd>training</kwd><kwd>puncture</kwd><kwd>fluoroscopy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Alken P. Percutaneous nephrolithotomy - the puncture. BJU Int. 2022;129(1):17-24. DOI: 10.1111/bju.15564</mixed-citation><mixed-citation xml:lang="en">Alken P. Percutaneous nephrolithotomy - the puncture. BJU Int. 2022;129(1):17-24. 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