Surgical Science-Simbionix Robotic Hysterectomy Simulator: Validating a New Tool.

Autor:	Cope AG; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota (Drs. Cope, Glaser, Langstraat, and Green and Ms. Willborg). Electronic address: cope.adela@mayo.edu., Lazaro-Weiss JJ; Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania (Drs. Lazaro-Weiss and Martino)., Willborg BE; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota (Drs. Cope, Glaser, Langstraat, and Green and Ms. Willborg); Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington (Ms. Willborg)., Lindstrom ED; Surgical Services (Ms. Lindstrom), Mayo Clinic, Rochester, Minnesota., Mara KC; Division of Biomedical Statistics and Informatics (Ms. Mara), Mayo Clinic, Rochester, Minnesota., Destephano CC; Department of Obstetrics and Gynecology, Mayo Clinic, Jacksonville, Florida (Drs. Destephano, Chen, and Dinh)., Vetter MH; Baptist Health Medical Group Gynecologic Oncology, Lexington, Kentucky (Dr. Vetter)., Glaser GE; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota (Drs. Cope, Glaser, Langstraat, and Green and Ms. Willborg)., Langstraat CL; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota (Drs. Cope, Glaser, Langstraat, and Green and Ms. Willborg)., Chen AH; Department of Obstetrics and Gynecology, Mayo Clinic, Jacksonville, Florida (Drs. Destephano, Chen, and Dinh)., Martino MA; Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania (Drs. Lazaro-Weiss and Martino)., Dinh TA; Department of Obstetrics and Gynecology, Mayo Clinic, Jacksonville, Florida (Drs. Destephano, Chen, and Dinh)., Salani R; Department of Obstetrics and Gynecology, University of California Los Angeles, Los Angeles, California (Dr. Salani)., Green IC; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota (Drs. Cope, Glaser, Langstraat, and Green and Ms. Willborg).
Jazyk:	angličtina
Zdroj:	Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2022 Jun; Vol. 29 (6), pp. 759-766. Date of Electronic Publication: 2022 Feb 03.
DOI:	10.1016/j.jmig.2022.01.016
Abstrakt:	Study Objective: To gather validity evidence for and determine acceptability of Surgical Science-Simbionix Hysterectomy Modules for the DaVinci Xi console simulation system (software; 3D Systems by Simbionix [now Surgical Science-Simbionix], Littleton, CO, and hardware; Intuitive Surgical, Inc., Sunnyvale, CA) and evaluate performance benchmarks between novice and experienced or expert surgeons. Design: Prospective education study (Messick validity framework). Setting: Multicenter, academic medical institutions. Participants: Residents, fellows, and faculty in obstetrics and gynecology were invited to participate at 3 institutions. Participants were categorized by experience level: fewer than 10 hysterectomies (novice), 10 to 50 hysterectomies (experienced), and more than 50 hysterectomies (expert). A total of 10 novice, 10 experienced, and 14 expert surgeons were included. Interventions: Participants completed 4 simulator modules (ureter identification, bladder flap development, colpotomy, complete hysterectomy) and a qualitative survey. Simulator recordings were reviewed in duplicate by educators in minimally invasive gynecologic surgery using the Modified Global Evaluative Assessment of Robotic Skills (GEARS) rating scale. Measurements and Main Results: Most participants felt that the simulator realistically simulated robotic hysterectomy (64.7%) and that feedback provided by the simulator was as or more helpful than feedback from previous simulators (88.2%) but less helpful than feedback provided in the operating room (73.5%). Participants felt that this simulator would be helpful for teaching junior residents. Simulator-generated metrics correlated with GEARS performance for the bladder flap and ureter identification modules in multiple domains including total movements and total time for completion. GEARS performance for the bladder flap module correlated with experience level (novice vs experienced/expert) in the domains of interest and total score but did not consistently correlate for the other procedural modules. Performance benchmarks were evaluated for the bladder flap module for each GEARS domain and total score. Conclusion: The modules were well received by participants of all experience levels. Individual simulation modules appear to better discriminate between novice and experienced/expert users than overall simulator performance. Based on these data and participant feedback, the use of individual modules in early residency education may be helpful for providing feedback and may ultimately serve as 1 component of determining readiness to perform robotic hysterectomy. Competing Interests: Declaration of Competing Interest The authors declare that they have no conflict of interest. (Copyright © 2022 AAGL. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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