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Related Experiment Video

Updated: May 8, 2026

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Navigating the pathway to robotic competency in general thoracic surgery.

Christopher W Seder1, Stephen D Cassivi, Dennis A Wigle

  • 1Division of General Thoracic Surgery, Mayo Clinic, Rochester, MN 55905, USA.

Innovations (Philadelphia, Pa.)
|August 31, 2013
PubMed
Summary

A structured, competency-based pathway effectively trains surgeons in robot-assisted thoracic surgery. This approach ensures safe skill acquisition and integration into clinical practice, overcoming previous adoption barriers.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Thoracic Surgery

Background:

  • Robotic surgery offers advantages over traditional videoscopic techniques but faces slow adoption in general thoracic surgery.
  • A need exists for standardized training to facilitate the integration of robotic surgery into thoracic procedures.

Purpose of the Study:

  • To report initial experience with robot-assisted thoracic surgery.
  • To propose and evaluate a structured, competency-based pathway for developing robotic surgical skills.

Main Methods:

  • Retrospective analysis of 79 robot-assisted thoracic procedures (pulmonary, mediastinal, esophageal, diaphragmatic) performed between December 2008 and February 2012.
  • Implementation of a triphasic, competency-based training pathway for one surgeon and three residents, including preclinical learning, mentored exercises, and progressive clinical responsibility.

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  • Data collection on patient characteristics and perioperative outcomes.

    • Main Results:

    • Procedures included lung resections, mediastinal mass resections, hernia repairs, and Heller myotomies.
    • No perioperative mortalities were observed; complication and readmission rates were 20% and 3%, respectively.
    • Fewer major complications occurred in the latter half of the study, and all participating residents incorporated robotic procedures into their practice.

    Conclusions:

    • Robot-assisted thoracic surgery can be safely learned and performed.
    • A structured, competency-based training pathway is crucial for effective skill acquisition and successful adoption of robotic surgery in thoracic procedures.