Multiservice laparoscopic surgical training using the daVinci surgical system

Eric J. Hanly; Michael R. Marohn; Sharon L. Bachman; Mark A. Talamini; Sander O. Hacker; Robin S. Howard; Noah S. Schenkman

doi:10.1016/j.amjsurg.2003.11.021

Multiservice laparoscopic surgical training using the daVinci surgical system

Eric J. Hanly, Michael R. Marohn, Sharon L. Bachman, Mark A. Talamini, Sander O. Hacker, Robin S. Howard, Noah S. Schenkman

Research output: Contribution to journal › Article › peer-review

71 Scopus citations

Abstract

Background: The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized. Methods: Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2). Results: The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = -0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = -0.860, P <0.0005). Conclusions: New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.

Original language	English (US)
Pages (from-to)	309-315
Number of pages	7
Journal	American journal of surgery
Volume	187
Issue number	2
DOIs	https://doi.org/10.1016/j.amjsurg.2003.11.021
State	Published - Feb 2004
Externally published	Yes

Keywords

Education
Laparoscopy
Learning curve
Robotics
Surgery
daVinci surgical system

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2003.11.021

Cite this

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title = "Multiservice laparoscopic surgical training using the daVinci surgical system",

abstract = "Background: The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized. Methods: Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2). Results: The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = -0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = -0.860, P <0.0005). Conclusions: New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.",

keywords = "Education, Laparoscopy, Learning curve, Robotics, Surgery, daVinci surgical system",

author = "Hanly, {Eric J.} and Marohn, {Michael R.} and Bachman, {Sharon L.} and Talamini, {Mark A.} and Hacker, {Sander O.} and Howard, {Robin S.} and Schenkman, {Noah S.}",

note = "Funding Information: The specific daVinci system used in this study was purchased outright by Walter Reed Army Medical Center (WRAMC), and the study was funded entirely by the WRAMC Department of Surgery with veterinary support from the Walter Reed Army Institute of Research. The authors of this study have no conflicting financial or other interests in Intuitive Surgical, the makers of the daVinci robot.",

year = "2004",

month = feb,

doi = "10.1016/j.amjsurg.2003.11.021",

language = "English (US)",

volume = "187",

pages = "309--315",

journal = "American Journal of Surgery",

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number = "2",

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T1 - Multiservice laparoscopic surgical training using the daVinci surgical system

AU - Hanly, Eric J.

AU - Marohn, Michael R.

AU - Bachman, Sharon L.

AU - Talamini, Mark A.

AU - Hacker, Sander O.

AU - Howard, Robin S.

AU - Schenkman, Noah S.

N1 - Funding Information: The specific daVinci system used in this study was purchased outright by Walter Reed Army Medical Center (WRAMC), and the study was funded entirely by the WRAMC Department of Surgery with veterinary support from the Walter Reed Army Institute of Research. The authors of this study have no conflicting financial or other interests in Intuitive Surgical, the makers of the daVinci robot.

PY - 2004/2

Y1 - 2004/2

N2 - Background: The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized. Methods: Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2). Results: The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = -0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = -0.860, P <0.0005). Conclusions: New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.

AB - Background: The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized. Methods: Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2). Results: The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = -0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = -0.860, P <0.0005). Conclusions: New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.

KW - Education

KW - Laparoscopy

KW - Learning curve

KW - Robotics

KW - Surgery

KW - daVinci surgical system

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Multiservice laparoscopic surgical training using the daVinci surgical system

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Keywords

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