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Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program.

Paula S Lee¹, Amy Bland, Fidel A Valea

¹Division of Gynecologic Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA. paula.s.lee@duke.edu

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|March 6, 2010

Summary

This study demonstrates that a systematic training program makes it feasible to teach fellows robotic-assisted gynecologic surgery. Trainees achieved comparable operative times and experienced no major complications.

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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

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Area of Science:

Minimally Invasive Surgery
Surgical Education
Robotic Surgery

Background:

Robotic surgical platforms offer an alternative to traditional laparoscopy, necessitating new skill development for surgeons.
Early evaluation of fellowship training in robotic-assisted gynecologic procedures is crucial during technology adoption.

Purpose of the Study:

To assess the feasibility of training fellows in robotic-assisted gynecologic procedures.
To evaluate the initial incorporation of robotic technology into clinical practice for surgical trainees.

Main Methods:

A systematic training approach included didactic sessions, hands-on practice, video instruction, and supervised performance of procedure segments.
Data collected included operative times, conversion rates to laparotomy, and complication rates.

Main Results:

Fellows served as console surgeons in 14 of 21 procedures. Patients often had prior abdominal surgery (62%).
No significant difference was observed in operative or segment times between fellows and attending surgeons.
One conversion to laparotomy occurred, with no major surgical complications reported.

Conclusions:

A structured training curriculum enables the feasible integration of robotic-assisted laparoscopic surgery education for trainees.
This approach supports the early adoption of new surgical technologies in fellowship programs.