A novel drill set for the enhancement and assessment of robotic surgical performance

Charles Y. Ro, Ioannis K. Toumpoulis, Robert C. Ashton, Celina Imielinska, Tony Jebara, Seung H. Shin, J. D. Zipkin, James J. McGinty, George J. Todd, Joseph J. Derose

Research output: Chapter in Book/Report/Conference proceedingConference contribution

17 Scopus citations

Abstract

Background: There currently exist several training modules to improve performance during video-assisted surgery. The unique characteristics of robotic surgery make these platforms an inadequate environment for the development and assessment of robotic surgical performance. Methods: Expert surgeons (n = 4) (>50 clinical robotic procedures and >2 years of clinical robotic experience) were compared to novice surgeons (n = 17) (<5 clinical cases and limited laboratory experience) using the da Vinci Surgical System. Seven drills were designed to simulate clinical robotic surgical tasks. Performance score was calculated by the equation Time to Completion + (minor error) × 5 + (major error) × 10. The Robotic Learning Curve (RLC) was expressed as a trend line of the performance scores corresponding to each repeated drill. Results: Performance scores for experts were better than novices in all 7 drills (p<0.05). The RLC for novices reflected an improvement in scores (p<0.05). In contrast, experts demonstrated a flat RLC for 6 drills and an improvement in one drill (p = 0.027). Conclusion: This new drill set provides a framework for performance assessment during robotic surgery. The inclusion of particular drills and their role in training robotic surgeons of the future awaits larger validation studies.

Original languageEnglish (US)
Title of host publicationMedicine Meets Virtual Reality 13
Subtitle of host publicationThe Magical Next Becomes the Medical Now, MMVR 2005
PublisherIOS Press
Pages418-421
Number of pages4
ISBN (Print)1586034987, 9781586034986
StatePublished - 2005
Externally publishedYes
Event13th Annual Conference on Medicine Meets Virtual Reality: The Magical Next Becomes the Medical Now, MMVR 2005 - Long Beach, CA, United States
Duration: Jan 26 2005Jan 29 2005

Publication series

NameStudies in Health Technology and Informatics
Volume111
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other13th Annual Conference on Medicine Meets Virtual Reality: The Magical Next Becomes the Medical Now, MMVR 2005
Country/TerritoryUnited States
CityLong Beach, CA
Period1/26/051/29/05

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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