Training in Robotic Surgery—an Overview

Sridhar, Ashwin; Briggs, T.; Kelly, John D.; Nathan, Senthil

doi:10.1007/s11934-017-0710-y

Cited by 134 publications

(92 citation statements)

References 42 publications

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“…Robotic surgery is a multidisciplinary, complex environment and, thus, requires further development of NTS alongside TS training [1,4]. New challenges include the new technology, the surgeon being physically displaced from their team, a change in the surgeons' role and additional staff members to communicate with.…”

Section: Training For Robotic Surgerymentioning

confidence: 99%

“…In the last decade, NTS have emerged as a vital area for improvement within healthcare: they are a major cause for error, causing 86% of adverse events in open surgery [3,4]. A UK-based evaluation of skills survey found that only 41% of urological trainees felt that their NTS training was sufficient for their first day of practice compared to 78% of specialists, with an even lower 25% of trainees believing their current NTS training was sufficient [5].…”

Section: Introductionmentioning

confidence: 99%

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Non-technical skills: a review of training and evaluation in urology

et al. 2019

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Purpose With non-technical skills (NTS) deficits being recognised as a major cause for error in surgery, there is an increasing interest in their training and evaluation. A growing number of training courses are emerging and some NTS curricula have also been created. Many different training methods are described in the literature but there is still uncertainty with regards to their optimum combination within a curriculum. Methods A literature review of the electronic database Medline was performed. All articles published before December 2018 were screened by abstract and included if deemed relevant by the author. The included articles' reference lists were also screened for further relevant studies. Results Simulation training is accepted as the most effective way to train NTS. Within simulation training, it is shown that the 'igloo' full immersion/distributed simulation environment is appropriate for teaching NTS in urological scenarios where a designated operating room or space is not available. The use of multiple settings, for example wards and clinics as well as the operating room, is advantageous, as is training in an interprofessional team. Classroom teaching also plays a role in NTS training as an adjunct to simulation, with evidence that it improves some parameters of NTS. All levels, including qualified surgeons, benefit from NTS training; however, adaptation to both trainee level and specialty is important. Although less time consuming, training juniors and seniors together mainly benefits juniors, and training NTS at the same time as technical skills detracts from the quality of teaching. Debriefing is an important part of training and should be well structured; there are many debriefing models in existence, allowing for choice of method based on examiner preference and participant demographic. Furthermore, examiners should be well briefed in their task and trained in NTS assessment. Conclusion To move forward, studies should combine tried and tested learning techniques into a curriculum covering all training levels, which should then be validated and followed up long term to ensure a positive impact on patient safety.

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Section: Training For Robotic Surgerymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-technical skills: a review of training and evaluation in urology

et al. 2019

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“…The field is rapidly changing with several new innovations in hardware and software [2,3]. A number of research labs that study extensions in hardware and software for surgical robots use animal tissue or synthetic proxies for tissues and anatomy [4].…”

Section: Introductionmentioning

confidence: 99%

SPRK: A low-cost stewart platform for motion study in surgical robotics

Patel

Krishnan

Goncalves

et al. 2018

2018 International Symposium on Medical Robotics (ISMR)

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To simulate body organ motion due to breathing, heart beats, or peristaltic movements, we designed a lowcost, miniaturized SPRK (Stewart Platform Research Kit) to translate and rotate phantom tissue. This platform is 20cm × 20cm × 10cm to fit in the workspace of a da Vinci Research Kit (DVRK) surgical robot and costs $250, two orders of magnitude less than a commercial Stewart platform. The platform has a range of motion of ± 1.27 cm in translation along x, y, and z directions and has motion modes for sinusoidal motion and breathing-inspired motion. Modular platform mounts were also designed for pattern cutting and debridement experiments. The platform's positional controller has a time-constant of 0.2 seconds and the root-mean-square error is 1.22 mm, 1.07 mm, and 0.20 mm in x, y, and z directions respectively. All the details, CAD models, and control software for the platform is available at github.com/BerkeleyAutomation/sprk.

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“…Robotic surgery presents great potentials towards safer, more accurate and consistent minimally invasive surgery (MIS) [1]. However, their adoption is fundamentally dependent on the access to training facilities and extensive surgical training [2,3]. Robotic instruments require different dexterity skills compared to open or laparoscopic surgery as well as across different robotic systems.…”

Section: Introductionmentioning

confidence: 99%