Feasibility of initiating robotic surgery during the early stages of gastrointestinal surgery education.

IF 2.1 3区医学 Q2 SURGERY

Langenbeck's Archives of Surgery Pub Date : 2024-08-01 DOI:10.1007/s00423-024-03432-7

Makoto Hikage, Wataru Kosaka, Atsumi Kosaka, Taeko Matsuura, Shinichiro Horii, Keiichiro Kawamura, Masato Yamada, Munetaka Hashimoto, Yasushi Ito, Kazuyuki Kusuda, Shunsuke Shibuya, Yuji Goukon

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引用次数: 0

Abstract

Purpose: Minimally invasive surgery for gastrointestinal cancers is rapidly advancing; therefore, surgical education must be changed. This study aimed to examine the feasibility of early initiation of robotic surgery education for surgical residents.

Methods: The ability of staff physicians and residents to handle robotic surgical instruments was assessed using the da Vinci^® skills simulator (DVSS). The short-term outcomes of 32 patients with colon cancer who underwent robot-assisted colectomy (RAC) by staff physicians and residents, supervised by a dual console system, between August 2022 and March 2024 were compared.

Results: The performances of four basic exercises were assessed after implementation of the DVSS. Residents required less time to complete these exercises and achieved a higher overall score than staff physicians. There were no significant differences in the short-term outcomes, operative time, blood loss, incidence of postoperative complications, and length of the postoperative hospital stay of the two surgeon groups.

Conclusion: Based on the evaluation involving the DVSS and RAC results, it appears feasible to begin robotic surgery training at an early stage of surgical education using a dual console system.

Abstract Image

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在胃肠道外科教育的早期阶段启动机器人手术的可行性。

目的：针对胃肠道癌症的微创手术发展迅速，因此外科教育必须有所改变。本研究旨在探讨对外科住院医师尽早开展机器人手术教育的可行性：方法：使用达芬奇®技能模拟器（DVSS）评估住院医生和住院医师操作机器人手术器械的能力。比较了2022年8月至2024年3月期间，在双控制台系统监督下，32名结肠癌患者接受机器人辅助结肠切除术（RAC）的短期疗效：结果：实施DVSS后，对四项基本练习的表现进行了评估。住院医师完成这些练习所需的时间更短，获得的总分也更高。两组外科医生在短期疗效、手术时间、失血量、术后并发症发生率以及术后住院时间等方面均无明显差异：根据涉及 DVSS 和 RAC 结果的评估，在外科教育的早期阶段使用双控制台系统开始机器人手术培训似乎是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Langenbeck's Archives of Surgery 医学-外科

CiteScore

3.30

自引率

8.70%

发文量

342

审稿时长

4-8 weeks

期刊介绍： Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.