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Spider surgical system versus multiport laparoscopic surgery: performance comparison on a surgical simulator
Domenico Giannotti1, Giovanni Casella1, Gregorio Patrizi2
1Department of Surgical Sciences Policlinico "Umberto I, "Sapienza" University of Rome, Viale Regina Elena, 324, Rome, Italy.
BMC Surgery
|May 4, 2015
Summary
The SPIDER surgical system is more challenging than conventional laparoscopy for surgeons of all experience levels. Tailored simulation training may improve proficiency with this innovative device.
Area of Science:
- Minimally Invasive Surgery
- Surgical Simulation
- Laparoscopic Techniques
Background:
- Laparo-endoscopic single-site (LESS) surgery evolved from conventional laparoscopy.
- The SPIDER surgical system aims to address LESS technical challenges.
- This study evaluates the SPIDER system's performance against standard laparoscopy.
Purpose of the Study:
- Compare the technical performance of the SPIDER surgical system and conventional laparoscopy.
- Assess performance using standardized tasks from the Fundamentals of Laparoscopic Surgery (FLS).
- Evaluate the impact of surgical experience on performance with both systems.
Main Methods:
- Twenty surgeons (10 residents, 10 experienced laparoscopists) participated.
- Participants performed FLS pegboard transfers and pattern cutting tasks on a simulator.
- Objective scores and subjective ratings compared conventional laparoscopy and the SPIDER system.
Main Results:
- Both inexperienced and experienced surgeons performed significantly better with standard laparoscopy than the SPIDER system.
- Statistical significance (p < 0.05) was observed for both tasks in both groups.
- Inexperienced surgeons found the SPIDER system equivalent to conventional laparoscopy only for the peg transfer task's ease of use.
Conclusions:
- The SPIDER surgical system presents greater challenges compared to conventional laparoscopy.
- Surgical experience did not negate the increased difficulty associated with the SPIDER system.
- Developing tailored simulation-based training programs is recommended to enhance surgeon proficiency with the SPIDER system.
