Robotic cholecystectomy and resident education: the UC Davis experience. Issue 2 (4th December 2013)

• Record Type: Journal Article
• Authors: Nelson, Eric C.; Gottlieb, Andrea H.; Müller, Hans‐Georg; Smith, William; Ali, Mohamed R.; Vidovszky, Tamas J.
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 10:Issue 2(2014)
• Page Start: 218
• Page End: 222
• Publication Date: 2013-12-04
• Subjects: Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1554
• Languages: English
• ISSNs: 1478-5951

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="rcs1554-sec-0001" sec-type="section"> <title>Introduction</title> <p>The popularity of robotic surgery highlights the need for strategies to integrate this technique into surgical education. We present 5 year data for robotic cholecystectomy (RC) as a model for training residents.</p> </sec> <sec id="rcs1554-sec-0002" sec-type="section"> <title>Methods</title> <p>Data were collected on all RC over 66 months. Duration for docking the robot (<italic>S2</italic>) and performing RC (<italic>S3</italic>), and surgical outcomes, were recorded. We used a linear mixed effects model to investigate learning curves.</p> </sec> <sec id="rcs1554-sec-0003" sec-type="section"> <title>Results</title> <p>Thirty‐eight trainees performed 160 RCs, with most performing more than four. One case was aborted due to haemodynamic instability, and two were converted to open surgery due to adhesions. There were no technical complications. The duration of <italic>S2</italic> (mean = 6.2 ± 3.6 min) decreased considerably (<italic>p =</italic> 0.027). Trainees also demonstrated decrease in duration of <italic>S3</italic> (mean = 38.4 ± 15.4 min), indicating improvement in technique (<italic>p =</italic> 0.008).</p> </sec> <sec id="rcs1554-sec-0004" sec-type="section"> <title>Conclusions</title> <p>RC is an effective model for teaching residents. Significant and reproducible improvement can be realized with low risk of adverse outcomes. Copyright © 2013 John Wiley & Sons, Ltd.</p> </sec> </abstract>