V07-04 RESIDENT TRAINING FOR ROBOTIC RENAL SURGERY WITH A PORCINE MODEL

Abstract

You have accessJournal of UrologyRenal Oncology I1 Apr 2018V07-04 RESIDENT TRAINING FOR ROBOTIC RENAL SURGERY WITH A PORCINE MODEL Niraj Badhiwala, Kefu Du, Steven Monda, Venkatesh Ramakrishna, Angelia DeClue, and Robert Figenshau Niraj BadhiwalaNiraj Badhiwala More articles by this author , Kefu DuKefu Du More articles by this author , Steven MondaSteven Monda More articles by this author , Venkatesh RamakrishnaVenkatesh Ramakrishna More articles by this author , Angelia DeClueAngelia DeClue More articles by this author , and Robert FigenshauRobert Figenshau More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1763AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic surgery is critical for modern urologists. Despite the reduced difficulty of robotic surgery compared to traditional laparoscopy, a learning curve still exists. Due to increased demands on surgeon productivity and outcomes, residency robotics training is increasingly relying on simulations. We present a cost-effective model for realistic training for robotic partial nephrectomy. METHODS Using our surgical education center with a training Da Vinci Si robot, we set up a training platform with a porcine kidney obtained from a local butcher shop. Expired and unsterile instruments and equipment were used to reduce cost. A quarter-size circular area of the kidney is marked as the area of the “tumor”, and robotic partial nephrectomy is performed by the trainee in a standardized stepwise manner. Video recordings are obtained and uploaded for review by the trainees to provide constructive feedback to each other. These workshops are repeated several times through the academic year for the residents to practice and improve performance in the operating room. RESULTS Two residents participate in each training session. Average time for completion of each training session is less than 90 minutes. Average cost per session is under $20. Sliding-clip renorrhaphy was achieved without difficulty with tissue integrity. No significant difference in realism was noted between frozen and fresh specimen. CONCLUSIONS Porcine kidney for robotic partial nephrectomy is an inexpensive, realistic, and easily adoptable tool for resident training. Similar porcine models can be used for training for other surgical procedures. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e742 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Niraj Badhiwala More articles by this author Kefu Du More articles by this author Steven Monda More articles by this author Venkatesh Ramakrishna More articles by this author Angelia DeClue More articles by this author Robert Figenshau More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...