Joong Ho Lee1, Eiji Tanaka2,3, Yanghee Woo4, Güner Ali5, Taeil Son2,6,7, Hyoung-Il Kim2,6,7, Woo Jin Hyung2,6,7. 1. Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea. 2. Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea. 3. Department of Surgery, Kobe City Medical Center West Hospital, Kobe, Japan. 4. Department of Surgery, City of Hope National Medical Center, Duarte, California. 5. Department of General Surgery, Karadeniz Technical University College of Medicine, Farabi Hospital, Trabzon, Turkey. 6. Gastric Cancer Center, Yonsei Cancer Center, Yonsei University Health System, Seoul, Republic of Korea. 7. Robot and MIS Center, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.
Abstract
INTRODUCTION: The recent scientific and technologic advances have profoundly affected the training of surgeons worldwide. We describe a novel intraoperative real-time training module, the Advanced Robotic Multi-display Educational System (ARMES). METHODS: We created a real-time training module, which can provide a standardized step by step guidance to robotic distal subtotal gastrectomy with D2 lymphadenectomy procedures, ARMES. The short video clips of 20 key steps in the standardized procedure for robotic gastrectomy were created and integrated with TilePro™ software to delivery on da Vinci Surgical Systems (Intuitive Surgical, Sunnyvale, CA). RESULTS: We successfully performed the robotic distal subtotal gastrectomy with D2 lymphadenectomy for patient with gastric cancer employing this new teaching method without any transfer errors or system failures. Using this technique, the total operative time was 197 min and blood loss was 50 mL and there were no intra- or post-operative complications. CONCLUSIONS: Our innovative real-time mentoring module, ARMES, enables standardized, systematic guidance during surgical procedures.
INTRODUCTION: The recent scientific and technologic advances have profoundly affected the training of surgeons worldwide. We describe a novel intraoperative real-time training module, the Advanced Robotic Multi-display Educational System (ARMES). METHODS: We created a real-time training module, which can provide a standardized step by step guidance to robotic distal subtotal gastrectomy with D2 lymphadenectomy procedures, ARMES. The short video clips of 20 key steps in the standardized procedure for robotic gastrectomy were created and integrated with TilePro™ software to delivery on da Vinci Surgical Systems (Intuitive Surgical, Sunnyvale, CA). RESULTS: We successfully performed the robotic distal subtotal gastrectomy with D2 lymphadenectomy for patient with gastric cancer employing this new teaching method without any transfer errors or system failures. Using this technique, the total operative time was 197 min and blood loss was 50 mL and there were no intra- or post-operative complications. CONCLUSIONS: Our innovative real-time mentoring module, ARMES, enables standardized, systematic guidance during surgical procedures.
Authors: Cho Rok Lee; Seoung Yoon Rho; Sang Hyup Han; Young Moon; Sun Young Hwang; Young Joo Kim; Chang Moo Kang Journal: World J Surg Date: 2019-11 Impact factor: 3.352