Assessment of first-touch skills in robotic surgical training using hi-Sim and the hinotori surgical robot system among surgeons and novices.


Journal

Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285

Informations de publication

Date de publication:
01 Nov 2024
Historique:
received: 15 09 2024
accepted: 15 10 2024
medline: 1 11 2024
pubmed: 1 11 2024
entrez: 1 11 2024
Statut: epublish

Résumé

Surgeons' adaptability to robotic manipulation remains underexplored. This study evaluated the participants' first-touch robotic training skills using the hinotori surgical robot system and its simulator (hi-Sim) to assess adaptability. We enrolled 11 robotic surgeons (RS), 13 laparoscopic surgeons (LS), and 15 novices (N). After tutorial and training, participants performed pegboard tasks, camera and clutch operations, energizing operations, and suture sponge tasks on hi-Sim. They also completed a suture ligation task using the hinotori surgical robot system on a suture simulator. Median scores and task completion times were compared. Pegboard task scores were 95.0%, 92.0%, and 91.5% for the RS, LS, and N groups, respectively, with differences between the RS group and LS and N groups. Camera and clutch operation scores were 93.1%, 49.7%, and 89.1%, respectively, showing differences between the RS group and LS and N groups. Energizing operation scores were 90.9%, 85.2%, and 95.0%, respectively, with a significant difference between the LS and N groups. Suture sponge task scores were 90.6%, 43.1%, and 46.2%, respectively, with differences between the RS group and LS and N groups. For the suture ligation task, completion times were 368 s, 666 s, and 1095 s, respectively, indicating differences among groups. Suture scores were 12, 10, and 7 points, respectively, with differences between the RS and N groups. First-touch simulator-based robotic skills were partially influenced by prior robotic surgical experience, while suturing skills were affected by overall surgical experience. Thus, robotic training programs should be tailored to individual adaptability.

Identifiants

pubmed: 39482467
doi: 10.1007/s00423-024-03514-6
pii: 10.1007/s00423-024-03514-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

332

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Takeshi Urade (T)

Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, 650-0017, Japan.

Nobuaki Yamasaki (N)

Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, 650-0017, Japan.

Munenori Uemura (M)

Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Junichiro Hirata (J)

Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

Yasuyoshi Okamura (Y)

Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

Yuki Mitani (Y)

Department of Electrical and Electronic Engineering, Kobe University Graduate School of Engineering, Kobe, Japan.

Tatsuya Hattori (T)

Department of Electrical and Electronic Engineering, Kobe University Graduate School of Engineering, Kobe, Japan.

Kaito Nanchi (K)

Department of Electrical and Electronic Engineering, Kobe University Graduate School of Engineering, Kobe, Japan.

Seiichi Ozawa (S)

Department of Electrical and Electronic Engineering, Kobe University Graduate School of Engineering, Kobe, Japan.

Yasuo Chihara (Y)

International Clinical Cancer Research Center, Kobe University Hospital, Kobe, Japan.

Kiyoyuki Chinzei (K)

International Clinical Cancer Research Center, Kobe University Hospital, Kobe, Japan.

Masato Fujisawa (M)

Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

Takumi Fukumoto (T)

Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, 650-0017, Japan. fukumoto@med.kobe-u.ac.jp.

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