NHS Lothian, Waverley Gate, 2-4 Waterloo Place, Edinburgh, EH1 3EG, UK.
University Hospital of Wales, Heath Park, Cardiff, CF14 4XN, Wales, UK.
J Robot Surg. 2024 Jan 12;18(1):11. doi: 10.1007/s11701-023-01757-x.
Robotic-Assisted Surgery (RAS) is experiencing rapid expansion, prompting the integration of robotic technical skills training into surgical education programs. As access to robotic training platforms remains limited, it is important to investigate the transferability of laparoscopic skills to RAS. This could potentially support the inclusion of early years laparoscopic training to mitigate the learning curve associated with robotic surgery. This study aims to assess the transferability of laparoscopic skills to robotic surgery. A systematic search was conducted using the PRISMA checklist to identify relevant articles. PubMed, MEDLINE, Embase, and Cochrane databases were searched, and inclusion and exclusion criteria were applied to collate eligible articles. Included were original articles comparing the performance of comparable tasks on both laparoscopic and robotic platforms written in English. Non-peer reviewed papers, conference abstracts, reviews, and case series were excluded. Seventeen articles met the inclusion criteria. Among these, 10 studies (59%) demonstrated skill transferability from laparoscopic surgery (LS) to robotic surgery (RS); while one study (5.8%) showed no significant transferability. Four studies highlighted the positive impact of prior laparoscopic training on robotic skill, whereas six papers suggested no significant difference between laparoscopic novices and experienced laparoscopists when utilizing a robotic simulator. Five studies evaluated advanced surgical skills such as intracorporeal knot tying and suturing, revealing superior robotic performance among experienced laparoscopists compared to novice learners. Laparoscopic skills appear to be transferrable to robotic surgery, particularly in complex surgical techniques. Robotic simulators demonstrate a significant reduction in the learning curve for surgical novices, albeit to a lesser extent for experienced laparoscopists.
机器人辅助手术（RAS）正在迅速发展，促使将机器人技术技能培训纳入外科教育计划。由于获得机器人培训平台的机会仍然有限，因此研究腹腔镜技能向 RAS 的转移非常重要。这可能有助于支持将早期腹腔镜培训纳入其中，以减轻与机器人手术相关的学习曲线。本研究旨在评估腹腔镜技能向机器人手术的转移能力。使用 PRISMA 清单进行了系统搜索，以确定相关文章。检索了 PubMed、MEDLINE、Embase 和 Cochrane 数据库，并应用纳入和排除标准来整理符合条件的文章。纳入的是比较腹腔镜和机器人平台上类似任务表现的原始文章，且这些文章以英文撰写。未经过同行评审的论文、会议摘要、评论和病例系列被排除在外。有 17 篇文章符合纳入标准。其中，有 10 项研究（59%）表明从腹腔镜手术（LS）到机器人手术（RS）的技能转移；而有一项研究（5.8%）显示无明显转移能力。四项研究强调了先前腹腔镜培训对机器人技能的积极影响，而有六篇论文表明在使用机器人模拟器时，腹腔镜新手和经验丰富的腹腔镜医师之间没有显著差异。五项研究评估了高级手术技能，如腔内打结和缝合，结果显示经验丰富的腹腔镜医师在机器人上的表现优于新手学习者。腹腔镜技能似乎可以转移到机器人手术中，尤其是在复杂的手术技术中。机器人模拟器在手术新手的学习曲线方面显示出显著的降低，尽管对于经验丰富的腹腔镜医师而言，降低幅度较小。
