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Understanding the surgeon's behaviour during robot-assisted surgery: protocol for the qualitative Behav'Robot study.

Clément Cormi1,2, Guillaume Parpex3, Camille Julio4

  • 1Pôle Territorial Santé Publique et Performance des Hôpitaux Champagne Sud, Centre Hospitalier de Troyes, Troyes, France ccormi.osteo@gmail.com.

BMJ Open
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Summary

This study explores surgeon behavior during robot-assisted surgery, examining how experience influences risk-taking and decision-making. Findings will inform training for safer robotic procedures.

Keywords:
MEDICAL EDUCATION & TRAININGProtocols & guidelinesQUALITATIVE RESEARCHQuality in health careSURGERY

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Area of Science:

  • Surgical Innovation
  • Human Factors in Medicine
  • Robotics in Healthcare

Background:

  • Robot-assisted surgery (RAS) is increasingly adopted globally, with over 1.2 million procedures in 2019.
  • Limited literature exists on surgeon risk-taking mechanisms in RAS.
  • Understanding surgeon behavior is crucial for optimizing RAS safety and efficacy.

Purpose of the Study:

  • To describe and understand surgeon behavior during RAS.
  • To investigate how surgeon experience impacts behavior and risk-taking in RAS.
  • To identify factors influencing behavioral changes in surgeons adopting robotic platforms.

Main Methods:

  • Qualitative study employing semistructured interviews with surgeons performing RAS.
  • Interview guide focuses on behavioral differences, proprioceptive/cognitive influences, and learning curve effects.
  • Thematic analysis of transcribed interviews using NVivo software.

Main Results:

  • Data collection and analysis are ongoing; specific results are pending.
  • The study aims to identify patterns in surgeon adaptation to RAS.
  • Anticipated results will detail behavioral shifts related to experience and the robotic interface.

Conclusions:

  • This research will provide novel insights into the human element of RAS.
  • Findings are expected to inform the development of targeted training programs for robotic surgeons.
  • Improved understanding of surgeon behavior can enhance patient safety and surgical outcomes in RAS.