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Step By Step: Microsurgical training method combining two nonliving animal models
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Simulation and comparison of objectively graded microsurgery steps by using a microscope and Symani robotic system by
Henning Wieker1, Niklas Brandenburg1, Dorothee Spille2
1Department of Oral and Maxillofacial Surgery, Christian Albrechts University, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24105, Kiel, Germany.
Journal of Robotic Surgery
|June 17, 2025
Summary
Young professionals can adequately perform microsurgery using both microscopes and robots. While microscopes were faster for some tasks, robotic technology adoption is crucial for training future surgeons.
Area of Science:
- Surgical Technology
- Medical Education
- Microsurgery
Background:
- Microsurgery requires high dexterity and precision.
- Robotic surgical systems offer potential advantages in minimally invasive procedures.
- Evaluating new technologies for surgical training is essential.
Purpose of the Study:
- To compare the accuracy and efficiency of microsurgery tasks performed by young professionals using a traditional microscope versus a robotic system.
- To assess the impact of prior experience (gaming, sewing, knitting) on performance with both surgical tools.
Main Methods:
- Forty students performed three standardized microsurgery exercises: needle grasping/placement, needle threading, and surgical knot tying.
- Performance was evaluated using an operating microscope and the Symani microsurgery robot.
- Statistical analysis was performed to compare operating times and identify significant factors.
Main Results:
- Both the microscope and the Symani robot allowed successful completion of all exercises.
- The microscope was significantly faster for needle grasping/placement and single-button anastomosis suture.
- Prior experience in gaming, sewing, or knitting significantly improved needle grasping/placement performance with both tools.
Conclusions:
- Young professionals can achieve adequate performance with both microscopes and robotic systems in a simulated microsurgical setting.
- Robotic surgical systems show promise for surgical training, fostering interest in advanced technologies.
- Integrating robotics into surgical education is vital to inspire and support the next generation of surgeons.
