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Robotic cholecystectomy and resident education: the UC Davis experience
Author(s) -
Nelson Eric C.,
Gottlieb Andrea H.,
Müller HansGeorg,
Smith William,
Ali Mohamed R.,
Vidovszky Tamas J.
Publication year - 2014
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1554
Subject(s) - popularity , cholecystectomy , duration (music) , robotic surgery , medicine , adverse effect , general surgery , surgery , psychology , physics , social psychology , acoustics
The popularity of robotic surgery highlights the need for strategies to integrate this technique into surgical education. We present 5 year data for robotic cholecystectomy (RC) as a model for training residents. Methods Data were collected on all RC over 66 months. Duration for docking the robot ( S2 ) and performing RC ( S3 ), and surgical outcomes, were recorded. We used a linear mixed effects model to investigate learning curves. Results Thirty‐eight trainees performed 160 RCs, with most performing more than four. One case was aborted due to haemodynamic instability, and two were converted to open surgery due to adhesions. There were no technical complications. The duration of S2 (mean = 6.2 ± 3.6 min) decreased considerably ( p = 0.027). Trainees also demonstrated decrease in duration of S3 (mean = 38.4 ± 15.4 min), indicating improvement in technique ( p = 0.008). Conclusions RC is an effective model for teaching residents. Significant and reproducible improvement can be realized with low risk of adverse outcomes. Copyright © 2013 John Wiley & Sons, Ltd.