Prior Robotic Console Expertise May Improve Basic Skills at the New Hugo RAS Simulator: Results from a Cohort Trial and Implications for Skill Transference Across Platforms

Sighinolfi, Maria Chiara; Terzoni, Stefano; Scanferla, Elena; Bianchi, Pietro Paolo; Formisano, Giampaolo; Piccolo, Gaetano; Barabino, Matteo; Pisani, Andrea; Salaj, Adelona; Gaia, Giorgia; Marconi, Anna Maria; Turri, Filippo; Sangalli, Mattia; Centanni, Stefano; Stocco, Matteo; Chiumello, Davide; Assumma, Simone; Sarchi, Luca; Calcagnile, Tommaso; Panio, Enrico; Grasso, Antonietta; Dell’Orto, P.; Mariani, Nicolò Maria; Verrusio, Clemente; Baisi, Alessandro; Bozzini, Giorgio; Rocco, Bernardo

doi:10.1016/j.euros.2023.04.008

Cited by 11 publications

(10 citation statements)

References 17 publications

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“…A robotic surgeon was defined as a surgeon who had performed a minimum of 5 operations on the Da Vinci platform. Only 6 of the remaining 61 participants had any surgical experience, with the remainder accounted for by students [ 22 ]. A comparative study assessing Da Vinci's multi-port (MP) performance with subsequent single-port (SP) performance recruited 15 surgeons.…”

Section: Reviewmentioning

confidence: 99%

“…Performance was determined by virtual reality simulation assessments (Mimic Technologies, Surgical Science, Sweden) [ 21 , 22 ], dry laboratory performance of a ureterovesical anastomosis (UVA) [ 24 ], and a wet laboratory environment with cadavers undergoing specialty-specific procedures [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

“…Outcomes of transferable skills assessed included competency, safety metrics, trainee perception, and cognitive task loads (Tables 4 , 5 ) [ 21 - 24 ]. Global Evaluative Assessment of Robotic Skills (GEARS) [ 23 , 24 ], Robotic Anastomosis Competency Evaluation (RACE) [ 24 ], time to completion, and kinematic data were used to distinguish performance across platforms [ 21 , 22 ].…”

Section: Reviewmentioning

confidence: 99%

“…Though all study participants underwent orientation before assessing performance on the novel robotic system, the process was not standardized. A brief tutorial and unstructured practice were used in two studies [ 21 , 22 ]. Participants were allowed to perform a self-directed practice assessment with no feedback in the UVA study [ 24 ], while formal familiarization and training took place as part of the Versius education validation study [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

“…Robotic surgeons showed a statistically significant decreased time to exercise completion in comparison to novices and laparoscopic surgeons. However, experts and novices had similar kinematic data pertaining to the economy of motion and master workspace usage [ 22 ].…”

Section: Reviewmentioning

confidence: 99%

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Transferability of Technical Skills Across Robotic Surgery Platforms: A Scoping Review

Devine,

Morris,

Kavanagh

2024

Cureus

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As the application of robotic approaches to surgery continues to broaden, new consoles have been introduced to the market. Due to the global utilization of a single platform, previously validated curricula have not been assessed on new robotic systems. Surgery by its nature occurs in a high-stakes environment, potentially exacerbated by non-standardized robotic systems. The aim of this review is to critique the evidence available regarding the transferability of technical skills across robotic platforms. A scoping review utilizing the Medline (Pubmed) and Cochrane Databases was conducted. Full texts were reviewed and appraised. Selected articles were eligible for inclusion if they investigated the ability or implications of the transfer of skill across robotic platforms. Data was extracted, coded inductively, and themes synthesized. NVIVO software was used as an adjunct for this qualitative analysis. Following the removal of duplicates a total of 278 papers were screened according to the eligibility criteria. Fifty full-text articles were reviewed and four met the criterion for inclusion. Novices’ performance across platforms was comparable. Increasing levels of prior robotic experience revealed an improvement in technical performance on a novel robotic platform. Safety metrics appear comparable across systems. Quantifying learning curves across robotic platforms and their implications for the robotic surgeon in training remains to be determined. Future research needs to address the gaps in the literature by clearly defining the extent of technical skills transfer between robotic platforms. These factors will guide the next iteration of surgical training curriculums and regulations for robotic surgery.

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Section: Reviewmentioning

confidence: 99%