Acquiring Surgical Skills: A Comparative Study of Open versus Laparoscopic Surgery

Subramonian, Kesavapillai; DeSylva, Suren; Bishai, Peter; Thompson, Peter M.; Muir, Gordon

doi:10.1016/j.eururo.2003.09.021

Cited by 69 publications

(39 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…La laparoscopia es una técnica mínimamente invasiva, con incisiones pequeñas y menor dolor post-operatorio 5,8 . Sin embargo, la nefrectomía del donante vivo laparoscópica es una técnica demandante que requiere de una larga curva de aprendizaje y no se encuentra exenta de complicaciones 9 . La introducción de la cirugía robótica pudiera mejorar los resultados quirúrgicos en la nefrectomía del donante vivo 10 .…”

Section: Discussionunclassified

Nefrectomía Robótica Del Donante Vivo Para Trasplante: Primer Caso en Latinoamérica

Ruiz

F²,

et al. 2014

Rev Chil Cir

View full text Add to dashboard Cite

Living robotic donor nephrectomy. The first case in Latin AmericaIntroduction: Living donor nephrectomy is the best alternative of treatment for patients with chronic renal disease. Even though open surgery remains the gold standard for donor nephrectomy, laparoscopic surgery has become a feasible alternative in referral centers. To minimize the long learning curve associated with this procedure, some centers have introduced robotic donor nephrectomy as a surgical option. Aim: To present the first robotic-assisted laparoscopic donor nephrectomy in Latin America. Clinical case: The donor is a 50 years old male, living-related to the recipient by affinity (husband/wife). The recipient is a 54 years old female with history of end-stage renal disease waiting to initiate dialysis program. A left transperitoneal robotic-assisted laparoscopic nephrectomy employing the da Vinci Si ® (Intuitive Surgical, Sunnyvale CA.) is performed. Mean operative time was 188 minutes with an estimated blood loss of 300 ml. Mean ischemia time was 6 minutes. The graft presented immediate function. Both patients were discharged at 72 h. Conclusion: Living donor robotic-assisted laparoscopic nephrectomy is a safe and viable procedure. Larger series are needed to establish its role.

show abstract

Section: Discussionunclassified

Nefrectomía Robótica Del Donante Vivo Para Trasplante: Primer Caso en Latinoamérica

Ruiz

F²,

et al. 2014

Rev Chil Cir

View full text Add to dashboard Cite

show abstract

“…Laparoscopic surgery implies the acquisition of new surgical skills that are very different to the ones of open surgery and besides that, there is not transference of skills between the two types of surgery [6,26,27]. Learning curve of laparoscopic surgery appears to be longer than the one of open surgery [6,22] so surgical simulators have been used to shorten this learning curve by acquiring basic skills out of the operating room and automating them [9].…”

Section: Discussionmentioning

confidence: 99%

Learning curves of basic laparoscopic psychomotor skills in SINERGIA VR simulator

et al. 2012

View full text Add to dashboard Cite

Purpose Surgical simulators are currently essential within any laparoscopic training program because they provide a low-stakes, reproducible and reliable environment to acquire basic skills. The purpose of this study is to determine the training learning curve based on different metrics corresponding to Ave tasks included in SINERGIA laparoscopic virtual reality simulator. Methods Thirty medical students without surgical experience participated in the study. Five tasks of SINERGIA were included: Coordination, Navigation, Navigation and touch, Accurate grasping and Coordinated pulling. Each participant was trained in SINERGIA. This training consisted of eight sessions (R1-R8) of the Ave mentioned tasks and was carried out in two consecutive days with four sessions per day. A statistical analysis was made, and the results of Rl, R4 and R8 were pair-wise compared with Wilcoxon signed-rank test. Significance is considered at P value <0.005. Results In total, 84.38 % of the metrics provided by SINER-GIA and included in this study show significant differences when comparing Rl and R8. Metrics are mostly improved in the Arst session of training (75.00 % when Rl and R4 are compared vs. 37.50 % when R4 and R8 are compared). In tasks Coordination and Navigation and touch, all metrics psychomotor skills are improved. On the other hand, Navigation just improves 60 % of the analyzed metrics. Most learning curves show an improvement with better results in the fulfillment of the different tasks. Conclusions Learning curves of metrics that assess the basic psychomotor laparoscopic skills acquired in SINERGIA virtual reality simulator show a faster learning rate during the Arst part of the training. Nevertheless, eight repetitions of the tasks are not enough to acquire all psychomotor skills that can be trained in SINERGIA. Therefore, and based on these results together with previous works, SINERGIA could be used as training tool with a properly designed training program.

show abstract

“…When the MIS surgery revolutionized surgical practices in the late 1980s, it led to changes in the research field concerning both the motor and the cognitive skills in surgery. It was then noticed that training in MIS is more demanding and timeconsuming than the training for open surgical techniques , Madan 2003, Soper, Brunt & Kerbl 1994, Subramonian et al 2004). The videoassisted technique means that the surgeons are observing their operation from a monitor's video picture that comes from a small camera inserted inside a patient's abdomen through one of the small (5-10mm) skin incisions.…”

Section: Laparoscopy -A Challenge For Surgical Resident Educationmentioning

confidence: 99%

Towards Technology-Supported Surgical Training

Silvennoinen

2008

2008 21st IEEE International Symposium on Computer-Based Medical Systems

View full text Add to dashboard Cite

Acquiring Surgical Skills: A Comparative Study of Open versus Laparoscopic Surgery

Cited by 69 publications

References 13 publications

Nefrectomía Robótica Del Donante Vivo Para Trasplante: Primer Caso en Latinoamérica

Nefrectomía Robótica Del Donante Vivo Para Trasplante: Primer Caso en Latinoamérica

Learning curves of basic laparoscopic psychomotor skills in SINERGIA VR simulator

Towards Technology-Supported Surgical Training

Contact Info

Product

Resources

About