Kallidonis Panagiotis, Tatanis Vasileios, Tsaturyan Arman, Peteinaris Angelis, Faitatziadis Solon, Faria-Costa Gabriel, Gkeka Kristiana, Spinos Theodoros, Vrettos Theofanis, Al-Aown Abdurrahman, Stolzenbur Jens-Uwe, Liatsikos Evangelos
Department of Urology, University of Patras, Patras, Greece.
Department of Urology, Erebouni Medical Centre, Yerevan, Armenia.
Urol Ann. 2025 Apr-Jun;17(2):127-131. doi: 10.4103/ua.ua_7_25. Epub 2025 Apr 17.
To evaluate the effect of preoperative training in an experimental setting on the preparation and docking of the avatera robotic system.
Two different surgical groups (consisting of two nurses, one assistant, and one operating surgeon) attended an initial training on robot draping and docking procedures. Group 1 was involved in 10 robotic-assisted operations while Group 2 was trained in the dry lab using an artificial insufflated abdominal model (10 sessions). The decrease in time needed for docking and draping was evaluated. After the completion of the initial training, each group performed docking and draping procedures in five surgeries (including robotic-assisted radical prostatectomy and pyeloplasty) and the recorded times were compared.
In Group 1, the docking and draping time were diminished during the initial training program from 17 to 7 min and from 12 to 5 min, respectively. In Group 2, the docking time was decreased from 9 to 6 min and the draping time from 8 to 5 min. Both types of training (during real-life OR program vs. dry laboratory setting inclusive an insufflated abdominal model) resulted in nearly the same positive training effect for Group 1 and Group 2, respectively.
Conducing a training of patient preparation and docking in the dry laboratory using an insufflated abdominal model facilitates experience acquisition in a safe and calm environment. The training method of Group 2 might help to avoid the potentially longer anesthesia times for patients during the early learning curve of Group 1.
评估在实验环境中进行术前训练对阿瓦特拉机器人系统的准备和对接的影响。
两个不同的手术小组（每组由两名护士、一名助手和一名主刀医生组成）参加了关于机器人铺巾和对接程序的初始培训。第1组参与了10台机器人辅助手术，而第2组在干式实验室中使用人工充气腹部模型进行训练（共10次）。评估对接和铺巾所需时间的减少情况。初始培训完成后，每组在五台手术（包括机器人辅助根治性前列腺切除术和肾盂成形术）中进行对接和铺巾程序，并比较记录的时间。
在第1组中，初始培训期间对接时间从17分钟减少到7分钟，铺巾时间从12分钟减少到5分钟。在第2组中，对接时间从9分钟减少到6分钟，铺巾时间从8分钟减少到5分钟。两种类型的培训（在实际手术室程序中与在包含充气腹部模型的干式实验室环境中）分别对第1组和第2组产生了几乎相同的积极培训效果。
使用充气腹部模型在干式实验室中进行患者准备和对接培训有助于在安全和平静的环境中积累经验。第2组的培训方法可能有助于避免第1组在早期学习曲线阶段患者潜在的较长麻醉时间。
