Evaluation of midlevel and upper-level residents performing their first robotic-sutured intestinal anastomosis

American Journal of Surgery
Slawomir J MarecikVivek Chaudhry

Abstract

This study analyzed the experience of residents performing their first robotic intestinal anastomosis. Eleven residents were tested. Participants performed 2 ex vivo hand-sewn suture lines followed by 3 robotic suture lines. The leak pressures in hand-sewn groups were 28.5 and 28.1 mm Hg; and 17.4, 7.6, and 21.4 mm Hg for 3 consecutive robotic groups. Completion time was longer in the robotic groups. The need for haptic assistance decreased between the first and third robotic drills. An analysis of the subjective evaluations also was performed. Complex hand-sewn tasks can be reproduced successfully by the residents using the robot-suturing technique. The quality of suturing and completion time improved over 3 consecutive exercises, although it did not reach the level of the hand-sewn suturing group.

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Citations

Aug 7, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Andrew J SunAndrew J Hung
Dec 1, 2010·Journal of Robotic Surgery·Andreana BütterChristopher Schlachta
Nov 6, 2013·The Journal of Surgical Research·Lucian PanaitJuan A Sanchez
Dec 18, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jun-Young YangHan-Kwang Yang
Oct 11, 2011·BJOG : an International Journal of Obstetrics and Gynaecology·H W R SchreuderR H M Verheijen
Jan 27, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Henry J LujanGustavo Plasencia
Jan 26, 2016·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Wanda PetzPaolo Pietro Bianchi
Jul 5, 2016·International Journal of Computer Assisted Radiology and Surgery·Yaki Setty, Oren Salzman
Jun 1, 2013·Journal of Robotic Surgery·Henry J LujanGustavo Plasencia

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