Literature DB >> 12095605

The effect of robotic assistance on learning curves for basic laparoscopic skills.

Sunil M Prasad1, Hersh S Maniar, Nathaniel J Soper, Ralph J Damiano, Mary E Klingensmith.   

Abstract

BACKGROUND: We hypothesized that laparoscopic tasks performed with ZEUS robotic assistance would be done with greater precision and with a different learning curve than when performed in a standard laparoscopic trainer.
METHODS: Participants were divided into the surgically experienced (n = 11) and the surgically naive (n = 17). Two laparoscopic tasks (bead transfer and rope pass) were repeated for five repetitions.
RESULTS: For all drills and participants, completion time and error rate decreased across the five repetitions for each platform. Precision averaged 97% for both platforms over all drills. For both groups, completion time for tasks was shorter on the laparoscopic platform. ZEUS allowed for greater consistency in performance.
CONCLUSIONS: Compared with performance on a standard laparoscopic trainer, robotic assistance allows for increasing speed and consistency while maintaining precision over multiple repetitions. Understanding how robotics affects learning curves will allow for modifications in the training experience with this new technology.

Entities:  

Mesh:

Year:  2002        PMID: 12095605     DOI: 10.1016/s0002-9610(02)00871-1

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  31 in total

Review 1.  Laparoscopic skills training.

Authors:  L Villegas; B E Schneider; M P Callery; D B Jones
Journal:  Surg Endosc       Date:  2003-10-28       Impact factor: 4.584

2.  Qualitative and quantitative analysis of the learning curve of a simulated surgical task on the da Vinci system.

Authors:  J D Hernandez; S D Bann; Y Munz; K Moorthy; V Datta; S Martin; A Dosis; F Bello; A Darzi; T Rockall
Journal:  Surg Endosc       Date:  2004-02-02       Impact factor: 4.584

3.  The benefits of stereoscopic vision in robotic-assisted performance on bench models.

Authors:  Y Munz; K Moorthy; A Dosis; J D Hernandez; S Bann; F Bello; S Martin; A Darzi; T Rockall
Journal:  Surg Endosc       Date:  2004-02-02       Impact factor: 4.584

4.  Manual robot assisted endoscopic suturing: time-action analysis in an experimental model.

Authors:  J P Ruurda; I A M J Broeders; B Pulles; F M Kappelhof; C van der Werken
Journal:  Surg Endosc       Date:  2004-05-28       Impact factor: 4.584

5.  Laparoscopic vascular anastomoses: does robotic (Zeus-Aesop) assistance help to overcome the learning curve?

Authors:  D Nio; W A Bemelman; R Balm; D A Legemate
Journal:  Surg Endosc       Date:  2005-05-26       Impact factor: 4.584

6.  The mechanical master-slave manipulator: an instrument improving the performance in standardized tasks for endoscopic surgery.

Authors:  J Diks; J E N Jaspers; W Wisselink; B A M J de Mol; C A Grimbergen
Journal:  Surg Endosc       Date:  2007-02-06       Impact factor: 4.584

7.  Advantages of advanced laparoscopic systems.

Authors:  J Heemskerk; R Zandbergen; J G Maessen; J W M Greve; N D Bouvy
Journal:  Surg Endosc       Date:  2006-03-09       Impact factor: 4.584

8.  Objective evaluation of expert performance during human robotic surgical procedures.

Authors:  Timothy N Judkins; Dmitry Oleynikov; Nick Stergiou
Journal:  J Robot Surg       Date:  2008-01-04

9.  Specific learning curve for port placement and docking of da Vinci(®) Surgical System: one surgeon's experience in robotic-assisted radical prostatectomy.

Authors:  F Dal Moro; S Secco; C Valotto; W Artibani; F Zattoni
Journal:  J Robot Surg       Date:  2011-09-27

10.  Retention of fundamental surgical skills learned in robot-assisted surgery.

Authors:  Irene H Suh; Mukul Mukherjee; Bhavin C Shah; Dmitry Oleynikov; Ka-Chun Siu
Journal:  J Robot Surg       Date:  2011-09-30
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