Feasibility of initiating robotic surgery during the early stages of gastrointestinal surgery education

Langenbecks Arch Surg. 2024 Aug 1;409(1):236. doi: 10.1007/s00423-024-03432-7.

Abstract

Purpose: Minimally invasive surgery for gastrointestinal cancers is rapidly advancing; therefore, surgical education must be changed. This study aimed to examine the feasibility of early initiation of robotic surgery education for surgical residents.

Methods: The ability of staff physicians and residents to handle robotic surgical instruments was assessed using the da Vinci® skills simulator (DVSS). The short-term outcomes of 32 patients with colon cancer who underwent robot-assisted colectomy (RAC) by staff physicians and residents, supervised by a dual console system, between August 2022 and March 2024 were compared.

Results: The performances of four basic exercises were assessed after implementation of the DVSS. Residents required less time to complete these exercises and achieved a higher overall score than staff physicians. There were no significant differences in the short-term outcomes, operative time, blood loss, incidence of postoperative complications, and length of the postoperative hospital stay of the two surgeon groups.

Conclusion: Based on the evaluation involving the DVSS and RAC results, it appears feasible to begin robotic surgery training at an early stage of surgical education using a dual console system.

Keywords: Colorectal cancer surgery; Dual console system; Robotic surgery; Simulator; Surgical education.

MeSH terms

  • Adult
  • Aged
  • Clinical Competence*
  • Colectomy / education
  • Colectomy / methods
  • Colonic Neoplasms / surgery
  • Digestive System Surgical Procedures / education
  • Education, Medical, Graduate / methods
  • Feasibility Studies*
  • Female
  • Humans
  • Internship and Residency*
  • Male
  • Middle Aged
  • Operative Time
  • Robotic Surgical Procedures* / education