A comparison of surgical outcomes among robotic cases performed with an employed surgical assist versus a second surgeon as the assist

Leggett, L.; Muldoon, O.; Howard, David L.; Kowalski, Lynn D.

doi:10.1007/s11701-021-01230-7

Cited by 3 publications

(6 citation statements)

References 23 publications

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“…Two information platforms (ResearchGate and Google Scholar) were interrogated, producing 24 hits on documentation likely to refer to the BA’s role and training. Citation searching resulted in four further studies to be screened, of which two were finally included in the review (Leggett et al 2022, Rosqvist et al 2012). In line with the dynamic searching of CIS, two device-producing companies were purposively scanned for information potentially relevant to the training of BAs (Intuitive Surgical, Inc. n.d.…”

Section: Resultsmentioning

confidence: 99%

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

Britton

Francis

Tay

et al. 2022

Journal of Perioperative Practice

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Introduction: Robot-assisted surgery has grown exponentially since its inception and first approval in the United States in the year 2000. The surgeon operating with the assistance of the robot sits remotely to the patient and another practitioner assists at the bedside. The role of the bedside assistant and the training that is required to undertake this role are understudied topics. Aim: To explore the functions, training and professional development of the bedside assistant in robot-assisted surgery and propose the necessary foundations for the safe enactment of the role in the United Kingdom. Methods: Through critical interpretative synthesis, relevant literature was systematically searched and analysed to inform integration of evidence. Results: Seventy-three studies were retrieved from the literature, across several health care disciplines and surgical specialities. These were critically analysed to inform a theoretically sound account grounded on evidence. Conclusion: The role, functions and skills of the bedside assistant in robot-assisted surgery vary across contexts. These were analysed and critically synthetised to produce several keys to the success of bedside assistants in robot-assisted surgery in the context of the United Kingdom and of its national regulations.

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Section: Resultsmentioning

confidence: 99%

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

Britton

Francis

Tay

et al. 2022

Journal of Perioperative Practice

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“…As mentioned previously, the RBA is an important component of the robotic surgery team [ 9 ]. The art of assisting is a skillset in its own right, and it is a role that surgeons have performed throughout their own robotic education and training.…”

Section: Discussionmentioning

confidence: 99%

“…In 2015, Potretzke, et al [ 6 ] compared “junior” level assistants to “senior” level assistants over the span of 3 years, concluding that assistant experience had no impact on operative blood loss ( p = 0.656), post-operative complications ( p = 0.916), or blood loss ( p = 0.488). In contrast, Leggett et al determined that a well-trained RBA can significantly impact time and estimated surgical blood loss [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The RBA facilitates operative efficiency, controls blood loss, manipulates tissue for exposure, places trocars, removes specimens and needles from the operative cavity, manually staples or sutures tissue, and clamps or compresses vessels [ 6 – 8 ]. All of these RBA responsibilities may directly impact the morbidity and mortality of robotically treated patients [ 5 – 9 ]. In addition, non-technical skills, such as communication, teamwork, leadership, and situational awareness, all contribute to hospital outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…In a retrospective article by Leggett et al, overall robotic case length and blood loss were compared between non-surgeon and surgeon RBAs [ 9 ]. Over fourteen years, the study concluded that robotic console time with a non-surgeon RBA averaged 19.2 min faster than cases with a surgeon RBA, (95% CI 0.26 h–0.37 h faster, p < 0.001).…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a standardized robotic assistant surgical training curriculum

et al. 2021

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Since 2000, robotic-assisted surgery has rapidly expanded into almost every surgical sub-specialty. Despite the popularity of robotic surgery across the United States, a national consensus for standardized training and education of robotic surgeons or surgical teams remains absent. In this quality improvement initiative, a novel, stepwise iterative Robotic Assistant Surgical Training (RAST) curriculum was developed to broaden and standardize robotic bedside assistant training. Thirteen voluntary participants, capable of fulfilling the bedside assistant role, were evaluated to determine if RAST enhanced the learner’s self-perceived level of confidence and comfort in their role as bedside assistant. A pre- and post-RAST training survey and a between-stages repeated-measures survey were conducted. All learner participants reported statistically significant increases in confidence and comfort after RAST training, ( p = < 0.001), and between each stage, F (2, 24 = 60.47, p < .001; = 0.834). Participant feedback regarding curriculum improvement was obtained, suggesting the desire for more training and practice, in smaller groups of 2–3 participants. One hundred percent of participants felt RAST was beneficial and that it should be implemented as standardized training during onboarding for all robotic bedside assistants. Thus, a standardized, stepwise iterative robotic bedside assistant curriculum increases learner preparedness, comfort, and confidence, safely away from the patient bedside. Supplementary Information The online version contains supplementary material available at 10.1007/s11701-021-01291-8.

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Role of the Table Side Assistant in Robot-Assisted Surgery

Prachee Pathak

2024

Robotic Urology

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A comparison of surgical outcomes among robotic cases performed with an employed surgical assist versus a second surgeon as the assist

Cited by 3 publications

References 23 publications

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

Implementation of a standardized robotic assistant surgical training curriculum

Role of the Table Side Assistant in Robot-Assisted Surgery

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