Training in robotic surgery: initial experience using the Brazilian College of Surgeons model.

Fernando De Barros,Ana Caroline Lima Tabet,Veronica Bernardino Felicio,Ana Carolina Capuano Cerbone

doi:10.1590/0100-6991e-20202969

Abstract

to present the initial experience of the first tier of surgeons trained in the new model of robotic surgery training proposed by the CBC. we retrospectively collected data and information on training with the Da Vinci SI robotic system. The variables analyzed were, in the pre-clinical phase, time of completion of each step by surgeon and number of hours in the simulator, and in the clinical phase, operations carried out by the training group, number of surgeons who performed nine procedures in ninety days ("9 in 90"), time of docking, time of console, and results surgical. we interviewed 39 surgeons before training started; 20 (51.3%) reached the clinical phase. The average age of surgeons was 47.9 years (38-62). The average time between the first interview and the delivery of the online certificate was 64 days (15-133). The surgeons have made an average of 51h and 36 minutes of robot simulation (40-83 hours). The total number of cases in which the training surgeons participated as first assistant was 418, with an average of 20.9 per surgeon. The time of pre-clinical training had an average of 116 days (48-205). the new model proposed had good acceptance by all surgeons trained and proved safe in the initial sample.

Highlights

R obotic surgery has been initially accomplished with platforms used for neurosurgical biopsies, calledProgrammable Universal Machine for Assembly (PUMA)2001
We present the initial experience of our program during the first year of training, of the first surgeons tier, with this new model of training in robotic surgery proposed by the CBC
We interviewed 39 surgeons for the start of training, 20 of them (51.3%) having reached the clinical phase, and among them, five (25%) have completed it and, as of this writing, operate without the need of a preceptor

Summary

Introduction

R obotic surgery has been initially accomplished with platforms used for neurosurgical biopsies, calledProgrammable Universal Machine for Assembly (PUMA)2001. R obotic surgery has been initially accomplished with platforms used for neurosurgical biopsies, called. Many platforms evolved and, in 1998, Computer Motion introduced the Zeus system, in which the surgeon controls arms and instruments[2]. The greater impact on the evolution of robotic surgery was when Intuitive Surgical developed the Da Vinci platform, in 1998. The robotic surgery has been growing exponentially, as well as the number of surgeons adopting the method. This demand eventually created the need for training of surgeons to operate the machine safely[3]. The certification process had been being carried out worldwide by the company which owns the Da Vinci platform[4]

Results

Discussion

Conclusion