Conventional Laparoscopic vs Robotic Training: Which is Better for Naive Users? A Randomized Prospective Crossover Study

Hassan, Syed Omar; Dudhia, Jaimin; Syed, Labiq H.; Patel, Kalpesh; Farshidpour, Maham; Cunningham, Steven C.; Kowdley, Gopal C.

doi:10.1016/j.jsurg.2014.12.008

Cited by 33 publications

(24 citation statements)

References 34 publications

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“…57 Several studies have consistently demonstrated a shorter and easier learning curve with robotics rather than with laparoscopy to perform complex procedures for gynecological cancer. 11,58,59 Therefore, the issue whether robotic-assisted laparoscopy is easier than conventional laparoscopy could be nowadays unquestionable.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery to Treat Gynecological Cancer

Minig

Achilarre

Garbi

et al. 2017

International Journal of Gynecological Cancer

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Robotic-assisted surgery is a technological advancement derived from conventional laparoscopy, which facilitates the application of minimally invasive techniques for complex operations in the field of gynecological oncology. However, its introduction in gynecological cancer has been scarce in most hospitals worldwide. Most publications on robotic surgery are still retrospective or descriptive in nature. Some studies compare robotic-assisted laparoscopy with open procedures, which is a questionable analysis, because the advantages of minimally invasive surgery have been already well established. Robotic surgery should be directly compared with conventional laparoscopy to determine whether its additional direct and indirect costs are in accordance with some improvements within patient clinical outcomes. On the other hand, the role of robotic-assisted surgery in allowing more patients to receive the benefits of the minimally invasive approach should also be considered. The objective of this article was, therefore, to review the literature regarding the role of conventional and robotic-assisted laparoscopy to treat women with gynecologic cancer.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery to Treat Gynecological Cancer

Minig

Achilarre

Garbi

et al. 2017

International Journal of Gynecological Cancer

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“…Various methods were introduced to objectively evaluate basic laparoscopic surgical skills, such as the virtual reality simulator system and physical trial program 17, 18, 19, 20. However, the influence of real‐time visual feedback for laparoscopic surgical training has not yet been reported.…”

Section: Discussionmentioning

confidence: 99%

“…The computer simulator has a virtual reality system that simulates various patterns of surgical training programs with or without haptic feedback 14, 15. According to several reports, the box trainer has equal effectiveness for fundamental laparoscopic training as the computer simulator, despite the cost difference between the two devices 16, 17, 18…”

Section: Introductionmentioning

confidence: 99%

Effect of visual feedback during laparoscopic basic training using a box trainer with a transparent top

Maemura

Mataki

Kurahara

et al. 2017

Annals of Gastroent Surgery

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Laparoscopic surgical training using a box trainer facilitates mastery of laparoscopic surgery. Few studies have investigated whether visualizing the surgical field in the box trainer improves performance of laparoscopic surgical procedures during laparoscopic training. An original box trainer equipped with a transparent top made of mesh covered with a latticed structure was developed and used for evaluation of novices during laparoscopic training. Three tasks (levels 1 to 3) involving organ handling while setting the surgical field were arranged to evaluate the efficacy of training. Forty‐five students were divided into three groups: group A, students without practical training; group B, students trained using the covered box trainer; and group C, students trained using the transparent box trainer. Completion time of each task before and after training was compared. Training significantly reduced the operating time, with a significant difference between the level 1 task and the levels 2 (P<.001) and 3 (P<.0001) tasks. There was no significant difference in operating time between the levels 2 and 3 tasks. Overall time reduction rate in group C was significantly shorter than that in group A, but not in group B. The time reduction rate for the level 3 task was lowest in group C, with a statistically significant difference existing in group A (P<.001). Visual feedback during surgery through the transparent top of the laparoscopic box trainer helped reduce the learning time required to carry out laparoscopic surgery.

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“…Intuitive Surgical, designer of the da Vinci â System, is responsible for the daVinci Surgical Simulator (dVSS) [14,15,20,22,29,31,34,50,[61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78]. This robotic simulator fits directly onto the surgeon console, allowing the trainee to sit at the same controls he or she would be using in the operating room.…”

Section: Computer-based Vr Assessmentmentioning

confidence: 99%