Clémence Klapczynski1,2, Camille Sallée2, Antoine Tardieu2, Clémence Peschot2, Manon Boutot2, Nadia Mohand2, Aymeline Lacorre2, François Margueritte2, Tristan Gauthier3. 1. Department of Gynecology, University Hospital of Rouen, 1 rue de Germont Rouen University Hospital, 76000, Rouen, France. 2. Department of Gynecology, University Hospital of Limoges, Mother and child hospital, 8 avenue Dominique Larrey, 87000, Limoges, France. 3. Department of Gynecology, University Hospital of Limoges, Mother and child hospital, 8 avenue Dominique Larrey, 87000, Limoges, France. tristan.gauthier@chu-limoges.fr.
Abstract
PURPOSE: To assess feasibility of a standardized robot-assisted hysterectomy managed by resident and supervised by senior surgeon using dual-console on a 21-step grid (max score = 42) assessing resident autonomy. METHODS: A total of seven patients managed between September 2019 and March 2020 by six residents in gynecology and obstetrics were included. Standardized robot-assisted hysterectomy for endometrial cancer or adenomyosis was performed. RESULTS: No conversion to laparotomy, no intra- or post-operative incidents were reported. Mean score on the evaluation scale was 29.8 out of 42 (SD = 7.3). Mean operative time was 104 min (SD = 23). Mean average suturing time was, respectively, 335 s (SD = 57 s) and 270 s (SD = 53 s) for the first and the fourth knot. There was a 65 s improvement between the first and the fourth intracorporeal knot (p = 0.043). The perceived workload evaluated with the NASA TLX score showed a low level of stress (Temporal demand = 1.6 /10), and a low level of frustration (Frustration level = 3.6/10). Experience gained during the surgery was felt to be important (Commitment = 8.6/10). CONCLUSION: Standardized robot-assisted hysterectomy managed by a resident supervised by a senior surgeon using the dual-console seems feasible. This tool could be useful to assess residents' surgical skills.
PURPOSE: To assess feasibility of a standardized robot-assisted hysterectomy managed by resident and supervised by senior surgeon using dual-console on a 21-step grid (max score = 42) assessing resident autonomy. METHODS: A total of seven patients managed between September 2019 and March 2020 by six residents in gynecology and obstetrics were included. Standardized robot-assisted hysterectomy for endometrial cancer or adenomyosis was performed. RESULTS: No conversion to laparotomy, no intra- or post-operative incidents were reported. Mean score on the evaluation scale was 29.8 out of 42 (SD = 7.3). Mean operative time was 104 min (SD = 23). Mean average suturing time was, respectively, 335 s (SD = 57 s) and 270 s (SD = 53 s) for the first and the fourth knot. There was a 65 s improvement between the first and the fourth intracorporeal knot (p = 0.043). The perceived workload evaluated with the NASA TLX score showed a low level of stress (Temporal demand = 1.6 /10), and a low level of frustration (Frustration level = 3.6/10). Experience gained during the surgery was felt to be important (Commitment = 8.6/10). CONCLUSION: Standardized robot-assisted hysterectomy managed by a resident supervised by a senior surgeon using the dual-console seems feasible. This tool could be useful to assess residents' surgical skills.
Authors: Alexandra H Freeman; Allison Barrie; Liisa Lyon; Carol Conell; Christine Garcia; Ramey D Littell; C Bethan Powell Journal: J Minim Invasive Gynecol Date: 2017-03-21 Impact factor: 4.137
Authors: María A Martínez-Maestre; Lidia M Melero-Cortés; Pluvio J Coronado; Carmen González-Cejudo; Nuria García-Agua; Antonio J García-Ruíz; Francisco Jódar-Sánchez Journal: Health Econ Rev Date: 2019-06-18
Authors: Emanuela Spagnolo; Ignacio Cristóbal Quevedo; Sara Gortázar de Las Casas; Ana López Carrasco; Maria Carbonell López; Isabel Pascual Migueláñez; Alicia Hernández Gutiérrez Journal: Front Surg Date: 2022-09-05