Impact of Robotic Fellowship Experience on Perioperative Outcomes of Robotic-Assisted Laparoscopic Partial Nephrectomy

Moriarty, Michael A.; Nepple, Kenneth G.; Tracy, Chad R.; Strigenz, Michael E; Lee, Daniel K.; Brown, James A.

doi:10.1159/000442845

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…On the other hand, Moriarty et al suggest that fellowship training in RAS is beneficial, particularly in urology where perioperative outcomes of RAS partial nephrectomy may be better in surgeons who are fellowship-trained. 7 There are limitations to our study. In contrast to 2011, francophone residents were included in the 2016 survey, although the survey was not translated into French at an overall perspective of RAS and did not specify RAS surgeries for specific sites (i.e., prostate, bladder, kidney) and therefore we cannot draw conclusions regarding these different procedures.…”

Section: Discussionmentioning

confidence: 89%

Evolving attitudes toward robotic surgery among Canadian urology residents

Locke

Robinson

MacNeily

et al. 2017

CUAJ

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Introduction: Robotic-assisted laparoscopic surgery (RAS) has not been adopted as rapidly or widely in Canada as in the U.S. In 2011, Canadian urology residents felt that RAS represented an expanding field that could potentially negatively impact their training. We re-evaluate trainee exposure and attitudes to RAS in Canadian residency training five years later. Methods: All Canadian urology residents were asked to participate in an online survey designed to assess current resident exposure to and perception of RAS. Results: The response rate was 39% (61/157). Seventy-seven percent of residents reported being involved in at least one RAS procedure (52% in 2011), and the majority had exposure to <10 cases. For those in hospitals with access to RAS, 96% desired more console time, while only 50% of those without access wanted more console experience. Of all residents, 50% felt that RAS will become the gold standard in certain urological surgeries (34% in 2011), but only 28% felt that RAS would play an increasingly important role in urology (59% in 2011). Conclusions: Despite an increase in exposure to RAS in residency programs over the past five years, console experience remains limited. Although these residents desire more access to RAS, many voice uncertainty of the role of RAS in Canada. We cannot conclude whether RAS is perceived by residents to be beneficial or detrimental to their training nationwide. Moving forward in the robotic era, it will be important to either modify residency curricula to address RAS experience or to limit RAS to fellowship training.

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Section: Discussionmentioning

confidence: 89%