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Advanced real‐time multi‐display educational system (ARMES): An innovative real‐time audiovisual mentoring tool for complex robotic surgery
Author(s) -
Lee Joong Ho,
Tanaka Eiji,
Woo Yanghee,
Ali Güner,
Son Taeil,
Kim HyoungIl,
Hyung Woo Jin
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24722
Subject(s) - medicine , da vinci surgical system , robotic surgery , gastrectomy , clips , surgery , lymphadenectomy , blood loss , medical physics , general surgery , cancer
The recent scientific and technologic advances have profoundly affected the training of surgeons worldwide. We describe a novel intraoperative real‐time training module, the Advanced Robotic Multi‐display Educational System (ARMES). Methods We created a real‐time training module, which can provide a standardized step by step guidance to robotic distal subtotal gastrectomy with D2 lymphadenectomy procedures, ARMES. The short video clips of 20 key steps in the standardized procedure for robotic gastrectomy were created and integrated with TilePro™ software to delivery on da Vinci Surgical Systems (Intuitive Surgical, Sunnyvale, CA). Results We successfully performed the robotic distal subtotal gastrectomy with D2 lymphadenectomy for patient with gastric cancer employing this new teaching method without any transfer errors or system failures. Using this technique, the total operative time was 197 min and blood loss was 50 mL and there were no intra‐ or post‐operative complications. Conclusions Our innovative real‐time mentoring module, ARMES, enables standardized, systematic guidance during surgical procedures.