Can Robotic Surgery be Done Efficiently While Training Residents?

Honaker, Michael D; Paton, B. Lauren; Stefanidis, Dimitrios; Schiffern, Lynnette

doi:10.1016/j.jsurg.2014.11.008

Cited by 20 publications

(10 citation statements)

References 6 publications

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“…Further analysis of training residents in RC has shown that there is no increase in operative time or increase in complication rates when compared to teaching LC (26,27). These outcomes indicate that RC can be taught to trainees with both consistency and in a time-efficient manner.…”

Section: Robotic Cholecystectomy As a Tool For Trainingmentioning

confidence: 94%

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Zaman¹,

Singh²

2018

Hepatobiliary Surg. Nutr.

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Though laparoscopic cholecystectomy (LC) was highly criticized in its early stages, it quickly grew to become a new standard of care and has revolutionized the field of general surgery. Now emerging robotic technology is making its way into the minimally invasive arena. Robotic cholecystectomy (RC) is often disparaged as a costly technology that can lead to increased operative times with outcomes that are quite similar to LC. However, this perspective is skewed as many existing studies were performed in the early phase of learning for this procedure. RC can be performed in a cost-effective manner as the volume of robotic procedures increases. In addition, improved visualization and capability to perform fluorescence cholangiography can improve the safety profile of cholecystectomy to a level that has not yet been achieved with conventional laparoscopy. Advanced simulation technology for robotic surgery, and newer singlesite robotic platforms have the potential to further revolutionize this technology and lead to improved patient satisfaction. In this review, we will present current data, trends, and controversies in robotic-assisted cholecystectomy.

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Section: Robotic Cholecystectomy As a Tool For Trainingmentioning

confidence: 94%

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Zaman¹,

Singh²

2018

Hepatobiliary Surg. Nutr.

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“…An important question facing teaching institutions is how to balance OR time with adequate training of surgery residents in robotic surgery [20]. Longer operative time while teaching residents on the robot has been demonstrated by more than one study [21,22].…”

Section: Discussionmentioning

confidence: 99%

Robotic versus Laparoscopic Cholecystectomy: Case-Control Outcome Analysis and Surgical Resident Training Implications

Ghanem

Shaheen

Blebea

et al. 2020

Cureus

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“…Fortunately, it has been demonstrated that training general surgery residents in robotics does not amount to extra time in the operating room compared to standard laparoscopic procedures. 13 In one program, 92% of general surgery residents reported that their robotics curriculum did not unduly stress their time or distract them from other duties. 14 Moreover, most general surgery residents want to receive formal robotics training.…”

Section: Discussionmentioning

confidence: 99%

A Standardized Robotic Training Curriculum in a General Surgery Program

Moit

Dwyer

Sutter

et al. 2019

JSLS

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Background and Objectives: The general surgery residency at the University of Illinois College of Medicine at Peoria has a long tradition of integrating robotic surgery into training since 2002. The purpose of this paper is to investigate our curriculum and evaluation system, which was designed to achieve a standardized format for education in general robotic surgery. Methods: The curriculum consists of two phases: phase 1 (PGY 1-2): Complete 4 robotic surgery training modules; read two assigned robotic surgery articles; and practice simulation modules on the robot. phase 2 (PGY 3-5): Refresh training modules, score Ͼ90% on the simulator modules every 6 months; bedside assist minimum of 4 robotic procedures; and act as console surgeon for a minimum of 10 procedures with 2 separate attending surgeons. The required simulator modules were specially selected to incorporate all of the skills categories documented in the simulator. The faculty evaluate the resident's operative performance using the Global Evaluative Assessment of Robotic Skills validated rubric. Results: Since the curriculum was instituted in June 2017, 73 evaluations from 8 surgeons have been collected. We examined data from 6 residents who had at least 5 Global Evaluative Assessment of Robotic Skills assessments completed. Correlation coefficient scores showed a positive correlation ranging from 0.476 to 0.862 for average skills and 0.334 to 0.866 for overall performance scores. Discussion: The preliminary results suggest an improvement of resident robotic surgical skills through tailored education. This curriculum is designed to enhance robotic general surgery education that could potentially produce general surgeons able to operate robotically without needing a robotic/MIS (Minimally Invasive Surgery) fellowship.

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Can Robotic Surgery be Done Efficiently While Training Residents?

Cited by 20 publications

References 6 publications

The emerging role for robotics in cholecystectomy: the dawn of a new era?

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Robotic versus Laparoscopic Cholecystectomy: Case-Control Outcome Analysis and Surgical Resident Training Implications

A Standardized Robotic Training Curriculum in a General Surgery Program

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