Validation of a Simulation-training Model for Robotic Intracorporeal Bowel Anastomosis Using a Step-by-step Technique

Rundstedt, Friedrich‐Carl von; Aghazadeh, Monty; Scovell, Jason M.; Slawin, Jeremy; Armstrong, Justin; Silay, Mesrur Selçuk; Goh, Alvin C.

doi:10.1016/j.urology.2018.07.035

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…Von Rundstedt et al . developed a training model for robotic intracorporeal bowel anastomosis . A total of 22 surgeons, including six robotic experts and 16 trainees, carried out four steps for intracorporeal bowel anastomosis: diversion of the bowel with a stapler; incision and opening of the bowel limbs at an antimesenteric angle; insertion of staples into the two bowel limbs for side‐to‐side anastomosis; and transverse closure of the anastomosis with a stapler.…”

Section: Introductionmentioning

confidence: 99%

Current status and future perspective of robot‐assisted radical cystectomy for invasive bladder cancer

Fujimura

2019

Int J of Urology

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The current status of robot‐assisted radical cystectomy was reviewed 16 years after the initial robot‐assisted radical cystectomy for the treatment of invasive bladder cancer. Articles associated with robot‐assisted radical cystectomy and written in English were selected from the PubMed database from January 2003 to February 2019. The present review article focused on the distribution of robot‐assisted radical cystectomy, patient selection, preoperative management, surgical technique, lymph node dissection, urinary diversion, recurrence pattern, oncological outcomes, cost, learning curve, complications and educational programs. A total of 400 articles were divided according to the country of the first author's affiliation. The USA was the most dominant at 198 (50%), whereas the number of articles from the countries belonging to the Urological Association of Asia was 15 (3.8%) for China, 17 (4.3%) for South Korea, 10 (2.5%) for Japan, eight (2%) for Taiwan, eight (2%) for Turkey and one (0.2%) for Iran. The percentage of robot‐assisted radical cystectomy carried out is increasing, and intracorporeal urinary diversion and ileal neobladder are also frequently carried out. With a refined technique being performed in high‐volume centers, robot‐assisted radical cystectomy has contributed to the reduction in transfusion rate, length of stay and severe complications; however, it has not yet shown any cancer‐specific survival benefits. Robot‐assisted radical cystectomy is not fully spread throughout the Urological Association of Asia. Further investigation with respect to worldwide results is needed to prove the real benefit of robot‐assisted radical cystectomy regarding low morbidity, reduced total medical cost, and survival benefit. In the era of precision medicine, appropriate drug and surgery will be given based on each genetic profile.

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Section: Introductionmentioning

confidence: 99%

Current status and future perspective of robot‐assisted radical cystectomy for invasive bladder cancer

Fujimura

2019

Int J of Urology

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“…Other inanimate models have been developed for robotic training of procedure-specific skills such as intracorporeal bowel anastomosis and basic surgical skills [ 14 , 15 ]. Some authors argue that dry-lab training on inanimate tissue models could be superior to virtual reality simulation for more advanced skills training [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Model Development of a Novel Robotic Surgery Training Exercise With Electrocautery

Lee¹,

Khan²,

Patnaik³

et al. 2022

Cureus

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“… 81 Animal samples, such as porcine tissue for robot-assisted intracorporeal bowel anastomosis and chicken tissue for robot-assisted urethrovesical anastomosis and posterior muscle-fascial reconstruction, have also been investigated and validated. 82 , 83 In terms of synthetic models, these can be simple models or more complex 3D-printed models. Several models have been developed for procedures such as robot-assisted partial nephrectomy, kidney transplantation, radical prostatectomy and urethrovesical anastomosis.…”

Section: Simulation Methods In Urology Educationmentioning

confidence: 99%

Simulation-based education in urology – an update

Ritchie

Pacilli

Nataraja

2023

Therapeutic Advances in Urology

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Over the past 30 years surgical training, including urology training, has changed from the Halstedian apprenticeship-based model to a competency-based one. Simulation-based education (SBE) is an effective, competency-based method for acquiring both technical and non-technical surgical skills and has rapidly become an essential component of urological education. This article introduces the key learning theory underpinning surgical education and SBE, discussing the educational concepts of mastery learning, deliberate practice, feedback, fidelity and assessment. These concepts are fundamental aspects of urological education, thus requiring clinical educators to have a detailed understanding of their impact on learning to assist trainees to acquire surgical skills. The article will then address in detail the current and emerging simulation modalities used in urological education, with specific urological examples provided. These modalities are part-task trainers and 3D-printed models for open surgery, laparoscopic bench and virtual reality trainers, robotic surgery simulation, simulated patients and roleplay, scenario-based simulation, hybrid simulation, distributed simulation and digital simulation. This article will particularly focus on recent advancements in several emerging simulation modalities that are being applied in urology training such as operable 3D-printed models, robotic surgery simulation and online simulation. The implementation of simulation into training programmes and our recommendations for the future direction of urological simulation will also be discussed.

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Validation of a Simulation-training Model for Robotic Intracorporeal Bowel Anastomosis Using a Step-by-step Technique

Cited by 6 publications

References 19 publications

Current status and future perspective of robot‐assisted radical cystectomy for invasive bladder cancer

Current status and future perspective of robot‐assisted radical cystectomy for invasive bladder cancer

Model Development of a Novel Robotic Surgery Training Exercise With Electrocautery

Simulation-based education in urology – an update

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