Teaching robotic surgery: A stepwise approach

Mohamed R Ali, Jason Rasmussen, Bobby BhaskerRao

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Background: After an initial institutional experience with 50 robot-assisted laparoscopic Roux-en-Y gastric bypass procedures, a curriculum was developed for fellowship training in robotic surgery. Methods: Thirty consecutive robotic gastric bypasses were performed using the Zeus robotic surgical system to fashion a two-layer gastrojejunostomy. For teaching purposes, performance of the anastomosis was divided into three discrete tasks. Robotic suturing tasks were assigned to the trainee in cumulative order in ten-case increments. Our patient population averaged 44 years of age and 47 kg/m 2 in BMI. Patients were predominantly female (87%). Results: The robotic training experience of the fellow defines the increases in surgical responsibility over the series of cases. Statistical analysis revealed no significant differences in task times or total robotic operative time as participation of the trainee in performing the gastrojejunostomy increased. No adverse robotic events or surgical complications occurred throughout this series. The learning curve of the fellow compared favorably with the initial experience of the institution. Conclusion: Robotic surgery training may be safely implemented in a minimally invasive surgery training program. A gradual introduction of robotic technique appears to maximize the learning experience and minimize the potential for adverse outcomes.

Original languageEnglish (US)
Pages (from-to)912-915
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume21
Issue number6
DOIs
StatePublished - Jun 2007

Fingerprint

Robotics
Teaching
Gastric Bypass
Learning Curve
Minimally Invasive Surgical Procedures
Operative Time
Curriculum
Learning
Education

Keywords

  • Bariatric
  • Education
  • Gastric bypass
  • Obesity
  • Robotic surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Teaching robotic surgery : A stepwise approach. / Ali, Mohamed R; Rasmussen, Jason; BhaskerRao, Bobby.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 21, No. 6, 06.2007, p. 912-915.

Research output: Contribution to journalArticle

Ali, Mohamed R ; Rasmussen, Jason ; BhaskerRao, Bobby. / Teaching robotic surgery : A stepwise approach. In: Surgical Endoscopy and Other Interventional Techniques. 2007 ; Vol. 21, No. 6. pp. 912-915.
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