Fundamental Skills of Robotic Surgery: A Multi-institutional Randomized Controlled Trial for Validation of a Simulation-based Curriculum

摘要: Objective To develop and establish effectiveness of simulation-based robotic curriculum - fundamental skills surgery (FSRS). Methods FSRS was developed incorporated into a virtual reality simulator, Robotic Surgical Simulator (RoSS). Fifty-three participants were randomized an experimental group (EG) or control (CG). The EG asked to complete the FSRS 1 final test on da Vinci System (dVSS). dVSS consisted 3 tasks: ball placement, suture pass, fourth arm manipulation. CG directly tested then offered chance re-tested as crossover (CO) group. Results Sixty-five percent had never formally trained using laparoscopic surgery. Ball placement: demonstrated shorter time (142 vs 164 seconds, P = .134) more precise (1.5 2.5 drops, .014). CO took less (P <.001) with greater precision (P <.001). Instruments rarely lost from field. Suture pass: better camera utilization (4.3 3.0, .078). Less instrument loss occurred (0.5 1.1, .026). Proper usage significantly improved (P = .009). Fourth manipulation: (132 157 .302). Meanwhile, instruments frequent (0.2 0.8, .076). Precision in .042) safe manipulation showed improvement 3.5, 0.2 0.9, respectively). Conclusion FSRS is valid, feasible, structured that demonstrates its by significant improvements basic skills.