Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review

Pietersen, Pia Iben; Hertz, Peter; Olsen, Rikke Groth; Møller, Louise Birch; Konge, Lars; Bjerrum, Flemming

doi:10.1007/s00464-023-10472-5

Cited by 6 publications

(2 citation statements)

References 67 publications

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“…Simulation refers to the use of realistic scenarios and equipment to replicate clinical situations for educational and training purposes ( 2 ). Integrating simulation into medical education offers several benefits, including enhanced learning experiences ( 3 ), improved clinical skills ( 4 – 6 ), and increased patient safety ( 2 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Early introduction of simulation in the medical curriculum: the MedInTo perspective

Lembo,

Abate Daga,

Calì

et al. 2024

Front. Med.

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Despite the increasing body of evidence supporting the use of simulation in medicine, a question remains: when should we introduce it into the medical school's curriculum? We present the experience and future perspectives of the MD program in Medicine and Surgery of University of Turin-MedInTo. Since its launch, MedInTo has been dedicated to integrating innovative teaching approaches at the early stages into the medical curriculum. Herewith, we describe a case-based approach for our activities, which includes the utilization of simulation for emergency medical care training for students and the integration of virtual and augmented reality technology. Dedicated surgical training activities using virtual-augmented reality and life-like simulator for students are also described.

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Section: Introductionmentioning

confidence: 99%

Early introduction of simulation in the medical curriculum: the MedInTo perspective

Lembo,

Abate Daga,

Calì

et al. 2024

Front. Med.

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“…Evaluating the RAPN LC is crucial in ensuring patient safety and optimizing surgical outcomes during the learning phase [13]. However, in the setting of complex surgical scenarios, the absence of validated tools to assess the transfer of skills from laparoscopy to robotic surgery remains a pressing concern [14]. On one hand, various studies have investigated LC of RAPN; on the other hand, only a few have thoroughly examined the transferability of skills from laparoscopy to robot-assisted surgery and between different robotic platforms [15,16].…”

Section: Introductionmentioning

confidence: 99%

Skill Transfer from Laparoscopic Partial Nephrectomy to the Hugo™ RAS System: A Novel Proficiency Score to Assess Surgical Quality during the Learning Curve

Prata,

Basile,

Tedesco

et al. 2024

JCM

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Background/Objectives: The absence of validated tools to assess the skill transfer from laparoscopy to robotic surgery remains an unsolved issue in the context of robot-assisted partial nephrectomy (RAPN). We aimed to describe and validate a novel proficiency score to critically evaluate the surgical quality of RAPN with the Hugo™ RAS System (Medtronic, Minneapolis, MN, USA). Methods: Between October 2022 and September 2023, 27 consecutive patients underwent off-clamp RAPN for localized renal tumors at our institution. To analyze the learning curve (LC), the cohort was chronologically divided into two phases of 6 months each. Proficiency was defined as the achievement of trifecta while maintaining a comparable intraoperative time in the interquartile range of laparoscopic partial nephrectomy performed by the same surgeon. A logistic binary regression model was built to identify predictors of proficiency achievement. Results: A proficiency score was achieved in 14 patients (74.1%). At univariable analysis, number of consecutive procedures > 12 (OR 13.7; 95%CI 2.05–21.1, p = 0.007), pathological tumor size (OR 0.92; 95%CI 0.89–0.99, p = 0.04) and essential blood hypertension (OR 0.16; 95%CI 0.03–0.82, p = 0.02) were found to be predictors of proficiency score. At multivariable analysis, after adjusting for potential confounding factors, number of consecutive procedures > 12 (OR 8.1; 95%CI 1.44–14.6, p = 0.03) was the only independent predictor of proficiency score achievement. Conclusions: Our results showed that the skills of an experienced laparoscopic surgeon are transferrable to the novel Hugo™ RAS System in the context of nephron-sparing surgery. Improved surgical quality may be expected after completing the first 12 consecutive procedures.

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Skill assessment based on clutch use in cross-platform robot-assisted surgery

Li,

Chen,

ZAW

et al. 2024

Surg Endosc

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Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review

Cited by 6 publications

References 67 publications

Early introduction of simulation in the medical curriculum: the MedInTo perspective

Early introduction of simulation in the medical curriculum: the MedInTo perspective

Skill Transfer from Laparoscopic Partial Nephrectomy to the Hugo™ RAS System: A Novel Proficiency Score to Assess Surgical Quality during the Learning Curve

Skill assessment based on clutch use in cross-platform robot-assisted surgery

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