Division of Surgery, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-ku, Oshu-shi, Iwate, 023-0864, Japan.
Langenbecks Arch Surg. 2024 Aug 1;409(1):236. doi: 10.1007/s00423-024-03432-7.
Minimally invasive surgery for gastrointestinal cancers is rapidly advancing; therefore, surgical education must be changed. This study aimed to examine the feasibility of early initiation of robotic surgery education for surgical residents.
The ability of staff physicians and residents to handle robotic surgical instruments was assessed using the da Vinci skills simulator (DVSS). The short-term outcomes of 32 patients with colon cancer who underwent robot-assisted colectomy (RAC) by staff physicians and residents, supervised by a dual console system, between August 2022 and March 2024 were compared.
The performances of four basic exercises were assessed after implementation of the DVSS. Residents required less time to complete these exercises and achieved a higher overall score than staff physicians. There were no significant differences in the short-term outcomes, operative time, blood loss, incidence of postoperative complications, and length of the postoperative hospital stay of the two surgeon groups.
Based on the evaluation involving the DVSS and RAC results, it appears feasible to begin robotic surgery training at an early stage of surgical education using a dual console system.
胃肠道癌症的微创手术正在迅速发展；因此，外科教育必须改变。本研究旨在探讨早期开始机器人手术教育对外科住院医师的可行性。
使用达芬奇技能模拟器（DVSS）评估外科医生和住院医师使用机器人手术器械的能力。比较 2022 年 8 月至 2024 年 3 月期间，在双控制台系统的监督下，由外科医生和住院医师进行的 32 例结肠癌患者机器人辅助结肠切除术（RAC）的短期结果。
在实施 DVSS 后评估了四项基本练习的表现。住院医师完成这些练习所需的时间更少，总体得分高于外科医生。两组外科医生的短期结果、手术时间、出血量、术后并发症发生率和术后住院时间均无显著差异。
基于 DVSS 评估和 RAC 结果，使用双控制台系统在外科教育的早期阶段开始机器人手术培训似乎是可行的。
