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INFLUENCE OF MINIMALLY INVASIVE LAPAROSCOPIC EXPERIENCE SKILLS ON ROBOTIC SURGERY DEXTERITY
Marcos Belotto1,2, Larissa Coutinho3, Adhemar M Pacheco-Jr1
1Department of Surgery, Pancreas Division, Santa Casa de São Paulo, São Paulo, SP, Brazil.
Background:
It is unclear if there is a natural transition from laparoscopic to robotic surgery with transfer of abilities.
Aim:
To measure the performance and learning of basic robotic tasks in a simulator of individuals with different surgical background.
Methods:
Three groups were tested for robotic dexterity: a) experts in laparoscopic surgery (n=6); b) experts in open surgery (n=6); and c) non-medical subjects (n=4). All individuals were aged between 40-50 years. Five repetitions of four different simulated tasks were performed: spatial vision, bimanual coordination, hand-foot-eye coordination and motor skill.
Results:
Experts in laparoscopic surgery performed similar to non-medical individuals and better than experts in open surgery in three out of four tasks. All groups improved performance with repetition.
Conclusion:
Experts in laparoscopic surgery performed better than other groups but almost equally to non-medical individuals. Experts in open surgery had worst results. All groups improved performance with repetition.
