Laparoscopic Versus Robotic-assisted Suturing Performance Among Novice Surgeons: A Blinded, Cross-Over Study
| Autor: | Steffen Brisling, Mads Klein, Jens C R Larsen, Niclas Dohrn, Sofie G Møller |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty animal structures Robotic assisted Conventional laparoscopy 030230 surgery Simulation training 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures medicine Humans Single-Blind Method Experience level Technical skills Laparoscopy Simulation Training Cross-Over Studies medicine.diagnostic_test business.industry Suture Techniques Crossover study Physical therapy 030211 gastroenterology & hepatology Surgery Female Clinical Competence business |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 30(2) |
| ISSN: | 1534-4908 |
| Popis: | Robotic-assisted laparoscopy (RAL) presents several advantages over 3-dimensional conventional laparoscopy (3D-CL) that may facilitate laparoscopic suturing especially with novice surgeons. This study compares novice surgeons' suturing performance by 3D-CL and RAL using Objective Structured Assessment of Technical Skill (OSATS), an objective, validated scoring tool. Twenty-two surgeons with no robotic experience completed a standardized suturing task in an experimental setup by both 3D-CL and RAL in a randomized, cross-over design. Two experienced surgeons blindly assessed their performance using OSATS. Median (interquartile range) OSATS scores for 3D-CL and RAL were, respectively, 22.8 (17.4 to 25.8) versus 25.0 (21.9 to 26.5), P=0.032. There was no association between laparoscopic experience and robotic-assisted suturing performance. Thus, this study is, to our knowledge, the first to compare novice surgeons' suturing performance by 3D-CL and RAL using an objective, validated scoring tool and to show better suturing performance when assisted by the robot regardless of experience level. |
| Databáze: | OpenAIRE |
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