The Learning Curve of Robot-Assisted Laparoscopic Surgery

Olthof, E.; Nio, D.; Bemelman, Willem A.

doi:10.5772/5235

Cited by 2 publications

(3 citation statements)

References 20 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The learning curve is steeper for CL but the curves never cross (Figure 1 ). These findings differ from most previous studies where the initial performance with RL is often inferior to the performance with CL [ 3 ]. In a recent publication by Stefanidis et al the authors reported that robotic assistance significantly improved intracorporeal suturing performance and shortened the learning curve.…”

Section: Discussioncontrasting

confidence: 99%

“…Parameters used when analysing learning curves are time to complete the task, the number of errors made and actions required. Learning curves in daily practice are often defined by operating time, blood loss, morbidity and length of hospital stay [ 3 ]. There is only very scant literature on the comparison of learning curves for RL and CL [ 3 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Learning curves in daily practice are often defined by operating time, blood loss, morbidity and length of hospital stay [ 3 ]. There is only very scant literature on the comparison of learning curves for RL and CL [ 3 , 6 ]. It is also a challenge to interpret the results of earlier studies, one reason being the different levels of previous experience among the participants.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Robotics versus laparoscopy - an experimental study of the transfer effect in maiden users

et al. 2010

View full text Add to dashboard Cite

BackgroundRobot-assisted laparoscopy (RL) is used in a wide range of operative interventions, but the advantage of this technique over conventional laparoscopy (CL) remains unclear. Studies comparing RL and CL are scarce. The present study was performed to test the hypothesis that maiden users master surgical tasks quicker with the robot-assisted laparoscopy technique than with the conventional laparoscopy technique.Methods20 subjects, with no prior surgical experience, performed three different surgical tasks in a standardized experimental setting, repeated four times with each of the RL and CL techniques. Speed and accuracy were measured. A cross-over technique was used to eliminate gender bias and the experience gained by carrying out the first part of the study.ResultsThe task "tie a knot" was performed faster with the RL technique than with CL. Furthermore, shorter operating times were observed when changing from CL to RL. There were no time differences for the tasks of grabbing the needle and continuous suturing between the two operating techniques. Gender did not influence the results.ConclusionThe more advanced task of tying a knot was performed faster using the RL technique than with CL. Simpler surgical interventions were performed equally fast with either technique. Technical skills acquired during the use of CL were transferred to the RL technique. The lack of tactile feedback in RL seemed to matter. There were no differences between males and females.

show abstract

Section: Discussioncontrasting

confidence: 99%