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IntroductionRobotically assisted laparoscopic surgery has a different learning curve to straight stick laparoscopic surgery. The learning curve for novices is likely to be different to that for experienced surgeons. We assessed the early learning curve for trainees with 18 months or less of surgical experience.
MethodsSix surgical novices performed 120 exercises using laparoscopic instruments and...
BackgroundTransurethral resection of the prostate (TURP) is a challenging operation for residents with limited endoscopic experience. A number of virtual TURP simulators have been validated in the past. This study is the first description and preliminary evaluation of a non‐virtual, low‐cost TURP trainer as a teaching tool for residents in urology.
MethodsDr K. Forke's prostatic resection trainer...
BackgroundThe robot‐assisted laparoscopic approach for radical prostatectomy (RARP) is being performed increasingly worldwide to treat localized prostate cancer (PCa). The aim of this study was to compare the learning curves of two surgeons with different surgical experiences.
MethodsA prospective collection of peri‐operative data was made: age, body mass index, PSA, clinical stage, biopsy Gleason...
BackgroundRobotic lobectomy has been shown to be feasible, safe and oncologically efficacious. The actual learning curve of robotic lobectomy has yet to be defined. This study was designed to define the learning curve of robotic lobectomy.
MethodsWe performed a retrospective review of prospectively accrued patients at our institution who underwent robotic lobectomy from January 2004 until December...
IntroductionThe popularity of robotic surgery highlights the need for strategies to integrate this technique into surgical education. We present 5 year data for robotic cholecystectomy (RC) as a model for training residents.
MethodsData were collected on all RC over 66 months. Duration for docking the robot (S2) and performing RC (S3), and surgical outcomes, were recorded. We used a linear mixed effects...
BackgroundThe objective was to evaluate the learning curve for performing a robotic hysterectomy to treat benign gynaecological disease.
MethodsThirty‐six patients underwent robotic hysterectomy for benign indications. A systematic chart review of consecutive cases was conducted. The collected data included age, BMI, operating time, set‐up time, docking time, uterine weight, blood loss, intraoperative...
BackgroundFundoplication is a leading application of robotic surgery in children, yet the learning curve for this procedure (RF) remains ill‐defined. This study aims to identify various learning curve transition points, using cumulative summation (CUSUM) analysis.
MethodsA prospective database was examined to identify RF cases undertaken during 2006–2014. Time‐based surgical process outcomes were...
Background
The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear.
Methods
Review of abdominal, vaginal, laparoscopic, or robotic cases in 156 US hospitals in the Premier Research Database.
Results
Of 289 875 hysterectomies, abdominal cases decreased from 2005–2010 (60–33%) and minimally invasive approaches increased (40–67%). Conversion...
Background
Laparoscopic surgery and robotic surgery have their own merits and demerits. The aim of this study was to evaluate early experiences of hybrid pancreaticoduodenectomy (PD) and to identify the learning curve of robotic surgery.
Methods
Sixteen patients underwent hybrid PD from August 2015 to February 2016. The outcomes were compared with those of an open PD group by the same operator...
Background
Longer operation time is one of the major obstacles in front of the proposed benefits of robotic rectal surgery. We intended to evaluate the learning process for robotic surgery in sphincter saving rectal cancer surgery.
Methods
The learning curve was evaluated using the cumulative sum (CUSUM) method. The variable evaluated for learning curve calculation was the operative time.
Results...
Background
Some difficulties are common when using endoscopes. Steering is not intuitive, the endoscope weight is a physical burden to physicians and communication problems often occur between operators.
Method
To overcome these, we developed a robotic endoscopy system and conducted a usability test to compare conventional and robotic manipulation. Nine novices and eighteen physicians participated...
Introduction
To compare outcomes of robotic gastrectomy (RG) performed during the learning curve (P1) with those after its completion (P2).
Methods
In this retrospective study, all consecutive RG patients (n = 92) performed between 2008 and 2018 were included. Primary outcome was conversion rate.
Results
D2 lymphadenectomies were more common in P2 (41, 97.6%) than P1 (41, 82.0%) (p = 0.019)....
Background
This study aimed to examine the effectiveness of microsurgery practice during an interval in robotic surgical training.
Methods
Two participant groups with 30 trainees each practiced Thread the Rings 1 on a dV‐Trainer. There were four 2‐h training sessions, with a 72‐h interval between each session. Group A received no additional training during the study period. During every interval,...
Background
To explore the learning curve and safety outcomes of robotic assisted transvaginal natural orifice transluminal endoscopic surgery (R‐vNOTES) for hysterectomy in benign gynaecological diseases.
Methods
A retrospective chart review of all patients undergoing R‐vNOTES hysterectomy for benign gynaecological disease from 2019 to 2021.
Setting
An academic tertiary care university hospital...
Background
Adoption of robotic‐assisted total hip arthroplasty (RA‐THA) systems can improve the accuracy of acetabular cup placement, but no group has reported the learning curve of novel, fluoroscopy‐based RA‐THA systems.
Methods
A learning‐curve cumulative summation (LC‐CUSUM) analysis was performed on a consecutive series of the first 100 patients who received fluoroscopy‐based RA‐THA by the...
Background
Gastric cancer is the fifth most frequent cancer globally. The introduction of minimally invasive surgery for gastric cancer aimed at reducing post‐operative morbidity and hospital length of stay. Although the role of laparoscopic gastrectomy has been established, robotic gastric surgery has only recently gained popularity. The purpose of this study was to evaluate, with a multidimensional...
Background
The aim of this study was to evaluate the usefulness of Automated Performance Metrics (APMs) in assessing the learning curve.
Methods
A retrospective review of 85 consecutive patients who underwent total robotic colorectal surgery at a single institution between August 2020 and October 2022 was performed. Patient demographics, operation type, and APMs were collected and analysed. Cumulative...
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