Clinical Report: Evaluation of a Cost-Effective In-House 3D-Printed LLETZ Simulator

Overview

This study shows that an in-house 3D-printed LLETZ simulator significantly outperforms a commercial model in training, leading to improved R0 resection rates and procedural quality. Enhanced training methods may contribute to better patient outcomes in cervical intraepithelial neoplasia management.

Background

Cervical cancer remains a leading cause of cancer-related morbidity and mortality worldwide, with effective screening and treatment being crucial for prevention. The LLETZ procedure is commonly performed to treat high-grade cervical dysplasia, but it carries risks of complications that can be mitigated through improved surgical training. Simulation-based training is increasingly recognized as a vital component in developing the necessary skills for safe and effective surgical procedures.

Data Highlights

Key Findings

• The in-house 3D-printed simulator led to higher R0 resection rates compared to the commercial model.
• Procedural quality was assessed through expert video analysis, showing superior performance with the 3D-printed simulator.
• Participants reported enhanced training experiences with the novel simulator.
• Training with the 3D-printed model may reduce the need for repeat interventions.
• Improved early training could lead to better patient outcomes in cervical dysplasia management.

Clinical Implications

The findings suggest that integrating a cost-effective 3D-printed simulator into training programs can enhance the skills of gynecology residents and medical students. This approach may ultimately lead to safer LLETZ procedures and improved patient care.

Conclusion

The study underscores the potential of innovative training tools in surgical education, highlighting the benefits of a 3D-printed simulator in enhancing procedural outcomes in LLETZ training.

References

1. Kiesel et al., PMC, 2023 -- Comparative validation of a cost-effective in-house 3D-printed LLETZ simulator versus a commercial training model
2. GOV.UK, 2025 -- Colposcopic diagnosis, treatment and follow up
3. PubMed, 2025 -- Prediction of Treatment Failure After Excisional Treatment of Cervical Precancer: A Systematic Review and Meta-analysis
4. Knee Surgery, Sports Traumatology, Arthroscopy, 2022 -- A 3D-Printed Simulator as an Effective Tool for Assessing Skills in Hip Arthroscopy
5. Surgical Endoscopy, 2025 -- Evaluation of Laparoscopic Skills Using Affordable Simulators Compared to Advanced Models: A Multi-Center Prospective Randomized Crossover Study
6. Surgical Endoscopy, 2024 -- Evaluation of Remote versus On-Site Laparoscopy Training Utilizing an Affordable Simulator: A Randomized Controlled Multi-Center Study
7. Surgical Endoscopy — Assessment of a 3D-printed training simulator for endoscopic bulking agent injection in vesicoureteral reflux: a preliminary investigation
8. 4. Colposcopic diagnosis, treatment and follow up - GOV.UK
9. Prediction of Treatment Failure After Excisional Treatment of Cervical Precancer: A Systematic Review and Meta-analysis - PubMed
10. Comparative validation of a cost-effective in-house 3D-printed LLETZ simulator versus a commercial training model - PMC