Application of da Vinci robot simulation surgery system in gynecological surgery training

doi:10.3877/cma.j.issn.1674-6899.2022.06.009

Abstract

Abstract:

Objective

To explore the application effect of Da Vinci robot SIMNOW simulation surgery system in gynecological surgery training.

Methods

From Jun. 2018 to Jan. 2022, 56 gynecology and obstetrics residents without experience in robotic surgery were randomly divided into simulated surgical group (experimental group) and video learning group (control group). All doctors accept theory training and training before examination. The experimental group received 3 hours of SIMNOW simulation learning, and the control group received 3 hours of video learning. The two groups of doctors were assessed after training, and the training effect of the two groups of doctors was compared.

Results

The ferruling numbers, knotting numbers and operating scores of the experimental group were higher than those of the control group, with statistically significant differences (P< 0.05), and there was no statistically significant difference in the theoretical assessment scores between the two groups (P=0.070).

Conclusions

SIMNOW simulation surgery system is more beneficial to improve gynecologist robot operation skills than video learning.

Key words: Robotic assisted surgery, SIMNOW simulation surgery system, Gynecology, Education

Nina Zhang, Zhen Li, Wensheng Fan, Jia Xu, Chenglei Gu. Application of da Vinci robot simulation surgery system in gynecological surgery training[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2022, 15(06): 364-367.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2022.06.009

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2022/V15/I06/364

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References 18

1	Rivas-López R, Sandoval-García-Travesí FA. Robotic surgery in gynecology: review of literature [J]. Cir Cir, 2020, 88(1): 107-116.
2	Han ES, Advincula AP. Robotic surgery: advancements and inflection points in the field of gynecology [J]. Obstet Gynecol Clin North Am, 2021, 48(4): 759-776.
3	Sheetz KH, Claflin J, Dimick JB. Trends in the adoption of robotic surgery for common surgical procedures [J]. JAMA Netw Open, 2020, 3(1): 1918911.
4	Chen R, Rodrigues Armijo P, Krause C, et al. A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education [J]. Surg Endosc, 2020, 34(1): 361-367.
5	Soomro NA, Hashimoto DA, Porteous AJ, et al. Systematic review of learning curves in robot-assisted surgery [J]. BJS Open, 2020, 4(1): 27-44.
6	Maccraith E, Forde JC, Davis NF. Robotic simulation training for urological trainees: a comprehensive review on cost, merits and challenges [J]. J Robot Surg, 2019, 13(3): 371-377.
7	Azadi S, Green IC, Arnold A, et al. Robotic surgery: the impact of simulation and other innovative platforms on performance and training [J]. J Minim Invasive Gynecol, 2021, 28(3): 490-495.
8	Moon A, Garofalo J, Koirala P, et al. Robotic surgery in gynecology [J]. The Surgical clinics of North America, 2020, 100(2): 445-460.
9	范江涛，孙丹，张师前. 机器人手术治疗子宫内膜癌中国专家共识(2021版)[J]. 机器人外科学杂志(中英文), 2022, 3(5): 414-422.
10	叶明侠，王楠，张哲，等. 机器人系统在子宫内膜癌分期手术中的学习曲线研究[J]. 中国医药导报，2016, 13(14): 166-169.
11	刘琦，王效慈，高思齐，等. 腹腔镜胆囊切除术虚拟仿真教学的探索[J]. 科技视界，2021, 18(19): 123-124.
12	Radi I, Tellez JC, Alterio RE, et al. Feasibility, effectiveness and transferability of a novel mastery-based virtual reality robotic training platform for general surgery residents [J]. Surg Endosc, 2022, 22: 1-9.
13	Kesavadas T, Stegemann A, Sathyaseelan G, et al. Validation of robotic surgery simulator (RoSS) [J]. Stud Health Technol Inform, 2011, 163: 274-276.
14	Asghar MS, Zaman BS, Zahid A. Past, present, and future of surgical simulation and perspective of a developing country: a narrative review [J]. J Pak Med Assoc, 2021, 71(12): 2770-2776.
15	Thornblade LW, Fong Y. Simulation-based training in robotic surgery: contemporary and future methods [J]. J Laparoendosc Adv Surg Tech A，2021, 31(5):556-560.
16	翟青枝，叶明侠，于博，等. 达芬奇机器人手术系统在宫颈癌根治术中学习曲线的研究[J]. 中国微创外科杂志，2018, 18(5): 422-426.
17	田园，林叶成，李勇，等. 达芬奇机器人胃癌手术学习曲线[J/CD]. 中华腔镜外科杂志(电子版), 2020, 13(3): 151-155.
18	秦倩，时飞宇，孙祺，等. 达芬奇机器人手术系统辅助胃癌根治术的学习曲线[J]. 中华消化外科杂志，2019, 18(5): 459-465.

组别	人数	性别(人数，女/男)	年龄(岁，±s)	学历(人数，本科/硕士)	套圈数(个，±s)	缝合和打结数(个，±s)
试验组	28	22/6	22.21±0.99	21/7	4.85±2.22	1.14±0.65
对照组	28	23/5	22.14±1.01	20/8	4.89±2.19	1.11±0.88
P值		0.622	0.791	0.676	0.952	0.863

组别	人数	性别(人数，女/男)	年龄(岁，±s)	学历(人数，本科/硕士)	套圈数(个，±s)	缝合和打结数(个，±s)
试验组	28	22/6	22.21±0.99	21/7	4.85±2.22	1.14±0.65
对照组	28	23/5	22.14±1.01	20/8	4.89±2.19	1.11±0.88
P值		0.622	0.791	0.676	0.952	0.863

组别	人数	套圈数(个)	缝合和打结数(个)	操作评分(分)	理论考核(分)
试验组	28	9.57±2.57	3.14±1.11	23.18±5.32	88.57±9.11
对照组	28	6.14±2.53	1.93±0.94	18.50±4.88	84.46±8.12
P值		<0.001	<0.001	0.001	0.070

组别	人数	套圈数(个)	缝合和打结数(个)	操作评分(分)	理论考核(分)
试验组	28	9.57±2.57	3.14±1.11	23.18±5.32	88.57±9.11
对照组	28	6.14±2.53	1.93±0.94	18.50±4.88	84.46±8.12
P值		<0.001	<0.001	0.001	0.070

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