The paper describes an idea and technical approach of gaming technologies introduction in surgery training based on 3D simulation. Research is based on the authors experience in development of a specialized simulational training suite for laparotomy, laparoscopy and endovascular surgery, which was created in cooperation with Samara State Medical University. The proposed solution is based on implementation of adaptive changes in logic and surgery scenes as a reaction to the student's acting in real time. This allows improving the usability and efficiency of training suite utilization in practice.
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