Juza Ryan M, Haluck Randy S, Won Eugene J, Enomoto Laura M, Pauli Eric M, Rogers Ann M, Singhal Vinay, Tran Tung, Estes Stephanie J, Lyn-Sue Jerome R
Division of Minimally Invasive Surgery, Department of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA, USA.
College of Medicine, The Pennsylvania State University, Hershey, PA, USA.
J Robot Surg. 2014 Sep;8(3):227-31. doi: 10.1007/s11701-014-0455-2. Epub 2014 Mar 4.
Robotic surgery is experiencing a rapidly-increasing presence in the field of general surgery. The adoption of any new technology carries the challenge of training current and future surgeons in a safe and effective manner. We report our experience with the initiation of a robotic general surgery program at an academic institution while simultaneously incorporating surgical trainees. The initial procedure performed was robotic-assisted cholecystectomy (RAC). Concurrent with the introduction of a robotic general surgical program, our institution implemented a progressive surgical trainee curriculum for all active residents and fellows. Immediately after being credentialed to perform RAC, attending surgeons began incorporating surgical trainees into robotic procedures. We retrospectively reviewed our first 50 RACs and compared them with our previous 50 standard laparoscopic cholecystectomies (SLC) to determine the impact of rapid integration of surgical trainees on developing technologies. Despite new technology and novice surgeons, there was no difference in mean operative time between the SLC and RAC groups (75.3 vs. 84.1 min, p = 0.077). Two patients in the robotic-assisted group required intraoperative conversion. Hospital length of stay was similar between groups, with the majority of patients leaving the same day. There were no postoperative complications in either group. A robotic general surgery program can be initiated while concurrently instructing surgical trainees on robotic surgery in a safe and efficient manner. We report our initial experience with the adoption of this rapidly advancing technology and describe our training model.
机器人手术在普通外科领域的应用正在迅速增加。采用任何新技术都面临着以安全有效的方式培训现有和未来外科医生的挑战。我们报告了在一所学术机构启动机器人普通外科项目并同时纳入外科实习生的经验。最初实施的手术是机器人辅助胆囊切除术（RAC）。在引入机器人普通外科项目的同时，我们机构为所有在职住院医师和研究员实施了渐进式外科实习生课程。在获得进行RAC的资格后，主治外科医生立即开始将外科实习生纳入机器人手术中。我们回顾性地分析了我们的前50例RAC，并将其与之前的50例标准腹腔镜胆囊切除术（SLC）进行比较，以确定外科实习生的快速融入对新技术发展的影响。尽管有新技术和新手外科医生，但SLC组和RAC组之间的平均手术时间没有差异（75.3对84.1分钟，p = 0.077）。机器人辅助组有2例患者需要术中中转。两组的住院时间相似，大多数患者在同一天出院。两组均无术后并发症。可以启动机器人普通外科项目，同时以安全有效的方式指导外科实习生进行机器人手术。我们报告了采用这种快速发展技术的初步经验，并描述了我们的培训模式。
