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Impact of laparoscopic experience on virtual robotic simulator dexterity
Byung Eun Yoo1, Jin Kim1, Jae Sung Cho1
1Division of Colorectal Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Journal of Minimal Access Surgery
|January 20, 2015
Summary
Laparoscopic experience did not significantly impact robotic surgery skills. This study suggests that prior laparoscopic training is not crucial for mastering robotic surgical techniques using simulators.
Area of Science:
- Minimally Invasive Surgery
- Surgical Simulation
- Robotic Surgery
Background:
- Robotic surgery and laparoscopic surgery demand distinct skill sets.
- A hypothesis proposed that laparoscopic experience would not influence da Vinci system performance.
- Virtual robotic simulators were employed to assess operator robotic dexterity.
Purpose of the Study:
- To investigate the impact of laparoscopic experience on robotic surgical performance.
- To compare the robotic dexterity of surgical fellows with laparoscopic experience against medical students.
Main Methods:
- The dV-Trainer(®) virtual robotic simulator was used.
- Eleven surgical fellows and 14 medical students participated.
- Subjects completed three virtual endo-wrist modules: Pick and Place, Peg Board, and Match Board.
Main Results:
- Surgical fellows showed fewer instrument collisions and drops in the Peg Board module (P < 0.05).
- No significant differences in overall percentage scores were observed across the three modules between the groups.
Conclusions:
- Robotic dexterity was not significantly affected by prior laparoscopic experience in this study.
- Laparoscopic experience is not a critical factor for acquiring robotic surgical skills.

