Liakos Nikolaos, Janssen Martin, Moritz Rudolf, Kayaci-Güner Özlem, Bründl Johannes, Özkan Arif, Ubrig Burkhard, Siemer Stefan, Gratzke Christian, Wagner Christian
Department of Urology, Faculty of Medicine, Medical Centre of the University of Freiburg, Freiburg, Germany.
Department of Urology, Faculty of Medicine, Medical Centre of the University of Münster, Münster, Germany.
Front Surg. 2025 Apr 14;12:1566840. doi: 10.3389/fsurg.2025.1566840. eCollection 2025.
Since the introduction of laparoscopy, a variety of training sets and tasks have been introduced for surgical education of minimally-invasive surgery. The implementation of the European Basic Laparoscopic Urological Skills into the training and education program of future laparoscopic surgeons created a new era and provided a standardized approach for urological surgical training. However, these tasks have not yet been evaluated in a setting of robot-assisted surgery. The aim of this study is to evaluate the feasibility of the implementation of the four E-BLUS tasks into training modules of robot-assisted surgery.
A cohort of 31 robotic surgeons (group A: experienced, group B: novices) performed these tasks in two different institutions by using the latest generation of robotic surgical platforms. Time performance and failure rate were assessed and statistically analyzed.
The groups demonstrated a statistically significant difference regarding time performance in half of the tasks involving fine surgical skills (cutting and knotting, = 0.01 and = 0.02, respectively) but no significant difference in tasks involving manual ambidexterity ( = 0.14 and 0.12, respectively). A low failure rate during the attempts of the group of novice robotic surgeons could be observed.
The use of the E-BLUS tasks in a training setting of robot-assisted surgery is feasible and can lead to the development of surgical skills needed during robot-assisted surgical procedures. It is a relatively low-cost dry lab option for the introduction of novice robotic surgeons.
自腹腔镜技术问世以来，已引入了多种训练集和任务用于微创手术的外科教育。将欧洲基本腹腔镜泌尿外科技能纳入未来腹腔镜外科医生的培训和教育计划开创了一个新时代，并为泌尿外科手术培训提供了标准化方法。然而，这些任务尚未在机器人辅助手术环境中进行评估。本研究的目的是评估将四项欧洲基本腹腔镜泌尿外科技能（E-BLUS）任务纳入机器人辅助手术训练模块的可行性。
一组31名机器人外科医生（A组：经验丰富者，B组：新手）在两个不同机构使用最新一代机器人手术平台执行这些任务。评估时间表现和失败率并进行统计分析。
在涉及精细手术技能的一半任务中（切割和打结，分别为P = 0.01和P = 0.02），两组在时间表现上显示出统计学上的显著差异，但在涉及双手灵活性的任务中无显著差异（分别为P = 0.14和0.12）。可以观察到新手机器人外科医生组在尝试过程中的失败率较低。
在机器人辅助手术的训练环境中使用E-BLUS任务是可行的，并且可以培养机器人辅助手术过程中所需的手术技能。对于引入新手机器人外科医生来说，这是一种成本相对较低的模拟实验室选择。
