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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
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Team members' reflections in debriefings after simulated robot-assisted surgery
Jannie Lysgaard Krog1,2, Lene Spanager3,4, Doris Østergaard5,3
1Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of Denmark, Copenhagen, Denmark. Jannie.lysgaard.poulsen@regionh.dk.
Surgical Endoscopy
|October 31, 2025
Summary
Team reflections on robot-assisted surgery (RAS) emergencies highlight the need for clear roles, leadership, and anticipation. Improving coordination during critical events like massive bleeding is key for better team performance and training.
Area of Science:
- Surgical Innovation
- Teamwork in Medicine
- Medical Simulation
Background:
- Robot-assisted surgery (RAS) creates physical separation, challenging team coordination during critical events.
- Acute situations, like massive bleeding, demand effective teamwork and conversion to open surgery.
- Limited research exists on teamwork during acute RAS and team performance reflections.
Purpose of the Study:
- To explore how RAS teams reflect on coordination during debriefings.
- To analyze team reflections following simulated massive bleeding scenarios in RAS.
Main Methods:
- Qualitative, explorative study design.
- Thematic analysis of six audio-recorded debriefings.
- Simulation-based RAS scenarios involving massive bleeding.
Main Results:
- Identified three themes: roles/responsibilities, task management, and information management.
- Key factors include assistant surgeon's role, leadership perception, trust, busyness, anticipation, and feedback needs.
- Reflections highlighted sub-teams and the importance of information flow.
Conclusions:
- Team reflections emphasize role clarity, leadership, anticipation, communication, and coordination in acute RAS.
- Findings inform simulation-based training for emergencies in RAS.
- Improving these aspects can enhance team performance during critical RAS events.
