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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Skill progress during a dedicated societal robotic surgery training curriculum including several robotic surgery
Barbara Seeliger1,2,3,4, Matteo Pavone5,6,7, Wolfgang Schröder8
1Institute of Image-Guided Surgery, IHU Strasbourg, 1, Place de l'Hôpital, 67091, Strasbourg Cedex, France. barbara.seeliger@ihu-strasbourg.eu.
Surgeons showed significant skill improvement in robotic surgery over two training days, with better economy of motion and less force used. This highlights the effectiveness of structured robotic surgery training programs.
Area of Science:
- Surgical Robotics
- Medical Simulation
- Surgical Education
Background:
- Robot-assisted surgery is expanding, with multiple thoraco-abdominal systems available.
- Structured training is crucial, but access to robotic systems remains limited.
- Assessing skill progression across different robotic platforms is essential.
Purpose of the Study:
- To evaluate the skill progress of surgeons during consecutive training days.
- To assess performance improvement within a structured robotic surgery curriculum.
- To analyze skill development across various robotic surgical systems.
Main Methods:
- Prospective observational study of 47 surgeons using SimNow™ simulator and questionnaires.
- Two-day hands-on training on Da Vinci® consoles, with options for VR simulation or live animal models.
- Exposure to introductory exercises on Versius, Hugo™RAS, Dexter, and ROBOTiS simulators.
Main Results:
- Participants demonstrated significant performance improvement from day 1 to day 2.
- Key improvements included enhanced economy of motion and reduced excessive force application.
- Demographics and module choice did not significantly impact overall performance scores.
Conclusions:
- A structured robotic surgery curriculum leads to significant skill enhancement in a short period.
- Integrated performance metrics effectively demonstrate surgical skill progression.
- Training across multiple robotic systems is feasible and beneficial for skill development.
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