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Robotic curriculum and development strategies in robotic abdominal surgery
1Department of General, Robotic, and Oncologic Surgery, Giglio Foundation Hospital, Cefalù, Palermo, Italy. webcostruction@msn.com.
Journal of Robotic Surgery
|January 19, 2026
Summary
The da Vinci TR training system effectively improves robotic abdominal surgery skills through structured modules. Further research is needed to standardize assessments and validate skill transfer to clinical practice.
Area of Science:
- Robotic Surgery
- Surgical Education
- Medical Simulation
Background:
- Robotic abdominal surgery adoption requires structured surgeon training.
- The da Vinci TR 100-500 system offers a comprehensive robotic surgical skills pathway.
- The learning curve effectiveness of this system is not fully understood.
Purpose of the Study:
- To systematically review the literature on learning curves associated with the da Vinci TR training system.
- To characterize the effectiveness of the TR training system in developing robotic surgical skills.
Main Methods:
- Systematic review following PRISMA guidelines.
- Searched PubMed, Embase, and Cochrane databases up to October 2025.
- Included studies evaluating TR system learning curves in robotic abdominal surgery, extracting data on training, assessment, and outcomes.
Main Results:
- 17 studies were included from 1,591 records.
- The TR system shows a progressive learning curve across modules (TR 100-500).
- Novices achieve significant skill improvement within 5-10 repetitions, with 53% reaching expert-level performance after 10 repetitions, improving scores, completion time, and reducing errors.
Conclusions:
- The da Vinci TR 100-500 system effectively supports structured robotic abdominal surgery skill development.
- Standardizing assessment methods and validating clinical skill transfer require further investigation.
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