Feasibility of Telementoring during Robot-Assisted Minimally Invasive Esophagectomy.

IF 1.8 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Digestive Surgery Pub Date : 2024-10-23 DOI:10.1159/000542035

Robin B den Boer, Cas de Jongh, Gijs I van Boxel, Philippe Rouanet, Anne Mourregot, Jelle P Ruurda, Richard van Hillegersberg

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引用次数: 0

Abstract

Introduction: Telementoring could increase the quality, reduce the time, and increase cost efficiency of the proctoring program for robot-assisted minimally invasive esophagectomy (RAMIE). However, feasibility is unclear as no studies assessed telementoring for RAMIE.

Methods: The feasibility of telementoring was assessed during the thoracic part of RAMIE procedures in three high-volume centers. RAMIEs were performed by trained surgeons, proctored by two experts. The primary outcome was the impact of the technology on conveying and understanding instructions.

Results: Between December 2021 and December 2022, nine RAMIE procedures were proctored using telementoring. Overall quality of the telementoring technique was scored good to excellent (median score: good). The vast majority of the 24 proctor instructions were conveyed and understood fluently (n = 21, 96%). Most proctor instructions were aimed at improving surgical exposure (n = 9, 38%). The major point of criticism was the use of the audio as the communication through the headset of the performing surgeon was not accessible by the complete team.

Discussion: Telementoring is deemed feasible for proctoring trained RAMIE surgeons after onsite proctoring. Technical improvements with regard to audio technology are warranted for broad implementation, especially in earlier training settings. The role of telementoring in the training pathway of learning surgeons needs clinical validation.

查看原文本刊更多论文

在机器人辅助微创食管切除术中使用 Telementoring 的可行性。

导言：导师制可以提高机器人辅助微创食管切除术（RAMIE）的监考质量、缩短时间并提高成本效益。然而，由于没有研究对 RAMIE 的监考进行评估，因此可行性尚不明确。方法在三家高产量中心对 RAMIE 手术胸腔部分的导师制可行性进行了评估。RAMIE 由经过培训的外科医生进行，并由两名专家进行监查。主要结果是该技术对传达和理解指令的影响。结果在2021年12月至2022年12月期间，九例RAMIE手术使用了远程指导技术。辅导技术的总体质量被评为良好至优秀（中位数：良好）。在 24 项监考指导中，绝大多数都能流利地传达和理解（21 项，96%）。大多数监考指导旨在改善手术暴露（9 人，占 38%）。主要的批评点在于音频的使用，因为整个团队无法通过手术医生的耳机进行交流。结论在现场监考之后，对经过培训的 RAMIE 外科医生进行 Telementoring 监考是可行的。为了广泛实施，尤其是在早期培训环境中，有必要对音频技术进行技术改进。导师制在学习型外科医生培训过程中的作用还需要临床验证。研究注册号：21/322 注册日期：2021 年 5 月 14 日：14-5-2021.

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

Digestive Surgery 医学-外科

CiteScore

4.90

自引率

3.70%

发文量

审稿时长

3 months

期刊介绍： ''Digestive Surgery'' presents a comprehensive overview in the field of gastrointestinal surgery. Interdisciplinary in scope, the journal keeps the specialist aware of advances in all fields that contribute to improvements in the diagnosis and treatment of gastrointestinal disease. Particular emphasis is given to articles that evaluate not only recent clinical developments, especially clinical trials and technical innovations such as new endoscopic and laparoscopic procedures, but also relevant translational research. Each contribution is carefully aligned with the need of the digestive surgeon. Thus, the journal is an important component of the continuing medical education of surgeons who want their practice to benefit from a familiarity with new knowledge in all its dimensions.