Multiservice laparoscopic surgical training using the daVinci surgical system - 25/08/11

Doi : 10.1016/j.amjsurg.2003.11.021

Eric J Hanly, M.D. ^a,^b,^c,^d, Michael R Marohn, D.O. ^a,^b,^c, Sharon L Bachman, M.D. ^d, Mark A Talamini, M.D. ^d, Sander O Hacker, V.M.D. ^e, Robin S Howard, M.A. ^f, Noah S Schenkman, M.D. ^a,^b,^⁎
^a Department of Surgery, Walter Reed Army Medical Center, 6900 Georgia Ave., NW, Washington, DC 20307-5001, USA
^b Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
^c Department of Surgery, Malcolm Grow Medical Center, Andrews AFB, MD, USA
^d Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
^e Department of Veterinary Surgery, Walter Reed Army Institute of Research, Bethesda, MD, USA
^f Division of Biostatistics, Department of Clinical Investigations, Walter Reed Army Medical Center, Washington, DC, USA

^*Corresponding author. Tel.: +1-202-782-0615; fax: +1-202-782-4118.

Abstract

Background

The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized.

Methods

Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2).

Results

The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = −0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = −0.860, P <0.0005).

Conclusions

New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.

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Keywords : Surgery, Education, Robotics, Laparoscopy, Learning curve, daVinci surgical system

Plan

Methods

Phase 1: daVinci system training

Phase 2: self-guided learning

Animal care

Data analysis

Results

Participating surgeon demographics

Learning curve parameters

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Vol 187 - N° 2

P. 309-315 - février 2004 Retour au numéro

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Multiservice laparoscopic surgical training using the daVinci surgical system - 25/08/11

Abstract

Background

Methods

Results

Conclusions

Plan

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