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The Potential Role of Microsurgical Training in Robotic Surgery Education: A Prospective Simulation-Based Study
Alberto Bolletta1, Mirco Pozzi1, Davide Di Seclì1
1Plastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy.
Journal of Clinical Medicine
|April 14, 2026
Summary
A structured microsurgery course improved surgical residents' robotic simulator performance. These findings suggest microsurgical skills enhance early robotic surgical training and skill acquisition.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
Background:
- Surgical simulation is crucial for skill acquisition and performance assessment.
- Microsurgery and robotic surgery share technical demands like bimanual coordination and precise instrument control.
Purpose of the Study:
- To assess if a structured microsurgery course improves robotic surgical simulator performance.
- To explore the role of microsurgical training in robotic surgery training pathways.
Main Methods:
- Prospective study with 56 participants (residents and experienced surgeons).
- Residents were divided into a microsurgery training group and a control group.
- Robotic simulation tasks were performed pre- and post-training, with experienced surgeons serving as a benchmark.
Main Results:
- The microsurgery training group showed significant performance improvements on robotic simulation tasks.
- Trained residents outperformed the control group on multiple metrics post-training.
- Experienced microsurgeons achieved the highest scores, establishing a performance benchmark.
Conclusions:
- Structured microsurgical training positively impacts robotic simulation performance.
- Microsurgical skills appear transferable to robotic surgery, aiding early skill acquisition.
- Further research is needed to validate these findings in clinical practice.
