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Updated: May 10, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
Prior experience in micro-surgery may improve the surgeon's performance in robotic surgical training
Manuela Perez1, Cyril Perrenot, Nguyen Tran
1IADI Laboratory, INSERM- U947, Lorraine University, Allée du Morvan, 54500, Vandoeuvre-les-Nancy, France; Department of Emergency and General Surgery, Central Hospital, University Hospital of Nancy, Avenue du Marechal de Lattre de Tassigny, 54000, Nancy, France.
Summary Background Data:
Robotic surgery has witnessed a huge expansion. Robotic simulators have proved to be of major interest in training. Some authors have suggested that prior experience in micro-surgery could improve robotic surgery training.
Objective:
To test micro-surgery as a new approach in training, we proposed a prospective study comparing the surgical performance of micro-surgeons with that of general surgeons on a robotic simulator.
Methods:
49 surgeons were enrolled; 11 in the micro-surgery group (MSG); 38 n the control group (CG). Performance was evaluated based on five dV-Trainer® exercises.
Results:
MSG achieved better results for all exercises including exercises requiring visual evaluation of force feed-back, economy of motion, instrument force and position.
Conclusions:
These results show that experience in micro-surgery could significantly improve surgeons' abilities and their performance in robotic training. So, as micro-surgery practice is relatively cheap, it could be easily included in basic robotic surgery training.

