Do Skills Naturally Transfer Between Multiport and Single-Port Robotic Platforms? A Comparative Study in a Simulated Environment

Ghazi, Ahmed; Schuler, Nathan; Saba, Patrick; Holler, Tyler; Steinmetz, Alexis; Yuen, Kit; Doersch, Karen; Ellis, Elizabeth; Tabayoyong, William; Bloom, Jonathan; Rashid, Hani; Kavoussi, Nicholas; Joseph, Jean

doi:10.1089/end.2022.0467

Cited by 4 publications

(17 citation statements)

References 32 publications

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“…Fifty full-text articles were reviewed, and three studies were eligible for inclusion. Through manual reference harvesting one further paper was identified (Figure 2 ) [ 21 - 24 ].…”

Section: Reviewmentioning

confidence: 99%

“…Studies ranged in size from 10 to 71 participants (Table 4 ) [ 21 - 24 ]. Experience ranged broadly.…”

Section: Reviewmentioning

confidence: 99%

“…A comparative study assessing Da Vinci's multi-port (MP) performance with subsequent single-port (SP) performance recruited 15 surgeons. Even distribution occurred amongst novices naïve to robotic surgery, robotic surgeons with extensive MP experience (>250 cases), and robotic surgeons with extensive MP (>250 cases) and SP experience (>50 single port cases) [ 24 ]. In the validation of Versius’ (Cambridge Robotic Medical, Cambridge, United Kingdom) training program, eight of the 17 recruited surgeons had at least some robotic experience (>5 robotic operations performed), and a further five surgeons were deemed expert Da Vinci users (>30 procedures performed) [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

“…Performance was determined by virtual reality simulation assessments (Mimic Technologies, Surgical Science, Sweden) [ 21 , 22 ], dry laboratory performance of a ureterovesical anastomosis (UVA) [ 24 ], and a wet laboratory environment with cadavers undergoing specialty-specific procedures [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

“…Outcomes of transferable skills assessed included competency, safety metrics, trainee perception, and cognitive task loads (Tables 4 , 5 ) [ 21 - 24 ]. Global Evaluative Assessment of Robotic Skills (GEARS) [ 23 , 24 ], Robotic Anastomosis Competency Evaluation (RACE) [ 24 ], time to completion, and kinematic data were used to distinguish performance across platforms [ 21 , 22 ].…”

Section: Reviewmentioning

confidence: 99%

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Transferability of Technical Skills Across Robotic Surgery Platforms: A Scoping Review

Devine,

Morris,

Kavanagh

2024

Cureus

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As the application of robotic approaches to surgery continues to broaden, new consoles have been introduced to the market. Due to the global utilization of a single platform, previously validated curricula have not been assessed on new robotic systems. Surgery by its nature occurs in a high-stakes environment, potentially exacerbated by non-standardized robotic systems. The aim of this review is to critique the evidence available regarding the transferability of technical skills across robotic platforms. A scoping review utilizing the Medline (Pubmed) and Cochrane Databases was conducted. Full texts were reviewed and appraised. Selected articles were eligible for inclusion if they investigated the ability or implications of the transfer of skill across robotic platforms. Data was extracted, coded inductively, and themes synthesized. NVIVO software was used as an adjunct for this qualitative analysis. Following the removal of duplicates a total of 278 papers were screened according to the eligibility criteria. Fifty full-text articles were reviewed and four met the criterion for inclusion. Novices’ performance across platforms was comparable. Increasing levels of prior robotic experience revealed an improvement in technical performance on a novel robotic platform. Safety metrics appear comparable across systems. Quantifying learning curves across robotic platforms and their implications for the robotic surgeon in training remains to be determined. Future research needs to address the gaps in the literature by clearly defining the extent of technical skills transfer between robotic platforms. These factors will guide the next iteration of surgical training curriculums and regulations for robotic surgery.

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“…Fifty full-text articles were reviewed, and three studies were eligible for inclusion. Through manual reference harvesting one further paper was identified (Figure 2 ) [ 21 - 24 ].…”

Section: Reviewmentioning

confidence: 99%

“…Studies ranged in size from 10 to 71 participants (Table 4 ) [ 21 - 24 ]. Experience ranged broadly.…”

Section: Reviewmentioning

confidence: 99%