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Is laparoscopic experience helpful in simulator based robotic training in general surgery?

Author(s)
Shahriyar Ghazanfar Department of Surgery, Dow University of Health Sciences, Civil Hospital, Karachi,Pakistan
Sajida Qureshi Department of Surgery, Dow University of Health Sciences, Civil Hospital, Karachi,Pakistan
Muhammad Zubair Department of Surgery, Dow University of Health Sciences, Civil Hospital, Karachi,Pakistan
Yumnah Safdar Dow Medical College, Civil Hospital,Karachi,Pakistan
Aftab Ahmed Leghari Department of Surgery, Civil Hospital, Karachi, Pakistan.
Mohammad Saeed Quraishy Department of Surgery, Dow University of Health Sciences, Civil Hospital, Karachi,Pakistan
Abstract
Objective: To evaluate whether or not prior laparoscopic training improves performance during robotic surgery utilising DaVinci robotic skills simulator. Methods: The cross-sectional study was conducted at the Civil Hospital, Karachi, from May 4 to November 11, 2018, and comprised first year residents in Group A with no laparoscopic skills and fourth year residents doing laparoscopic cholecystectomy independently and surgical faculty members in Group B who had laparoscopic skills. Both the groups had no previous exposure to robotic surgery and skills simulator. There were 4 exercises which were repeated three times by each participant. Scoring was done using the DaVinci robotic skills simulator software. Data was analysed using SPSS 22. Results: Of the 30 surgeons, there were 15(50%) in Group A with a mean age of 26±0.56 years, and 15(50%) in Group B with a mean age of 32 ± 9.16 Years (p<0.001). The overall mean age was 32±9.16 years (range: 25-52 years). There were 19(63.3) females in the sample compared to 11(36.6%) males. Mean scores of Ring walk 2, Peg board 2, and Suture sponge 3 were better in Group A, while mean score of Matchboard 2 was better in Group although B (p>0.05). Group B fared better in the individual scoring of Suture sponge 2 (p>0.05). Conclusion: Laparoscopic skills apparently did not confer any benefit while performing exercises on the DaVinci skills simulator.
Publication Details
Page(s) 2198-2202
DOI DOI not available
Published Journal: Journal of Pakistan Medical Association, Volume: 71, Issue: 9, Year: 2021

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Keywords
dVSSS, DaVinci Si, DaVinci skills simulator, Robotic surgery curriculum, Robotic surgery simulation.
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