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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Surgeon-Team Separation in Robotic Theaters: A Qualitative Observational and Interview Study.

Dina El-Hamamsy1, Thomas J Walton2, T R Leyshon Griffiths3

  • 1From the University Hospitals of Leicester NHS Trust, Leicester.

Female Pelvic Medicine & Reconstructive Surgery
|January 29, 2020
PubMed
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Area of Science:

  • Surgical Innovation
  • Human Factors Engineering
  • Operating Room Dynamics

Background:

  • Robotic surgery adoption driven by technical benefits like improved ergonomics and 3D vision.
  • Physical separation of surgeons in robotic procedures is a less-studied factor.
  • Impact on operating room team dynamics and staff emotions requires investigation.

Purpose of the Study:

  • To investigate the effects of surgeon-team separation in robotic surgery.
  • To analyze how this separation influences team dynamics and staff emotions.
  • To compare these effects with traditional laparoscopic and open surgeries.

Main Methods:

  • Qualitative study using grounded theory and NVivo11 software.
  • Observations of robotic, laparoscopic, and open procedures in tertiary hospitals.
  • One-to-one interviews with theater team members.

Main Results:

  • Identified three key themes: communication challenges, immersion vs. distraction, and emotional impact.
  • Robotic surgery separation creates communication barriers affecting situational awareness.
  • Factors like experience, staffing, and environment compound these challenges.

Conclusions:

  • Surgeon-team separation in robotic surgery hinders communication and situational awareness.
  • This separation negatively impacts staff emotions and team dynamics.
  • Training, experience, and consistency can mitigate these adverse effects.