Evaluation of midlevel and upper-level residents performing their first robotic-sutured intestinal anastomosis - 20/08/11

Doi : 10.1016/j.amjsurg.2007.12.013

Slawomir J. Marecik, M.D. ^a,^b,^c, Leela M. Prasad, M.D. ^a,^b,^c,^⁎ , John J. Park, M.D. ^a,^b,^c, Azam Jan, M.D. ^c, Vivek Chaudhry, M.D. ^b
^a Department of Surgery, Advocate Lutheran General Hospital, 1775 W. Dempster Street, 8 South, Park Ridge, IL 60068, USA
^b University of Illinois Cook County Colon and Rectal Surgery Residency Training Program, Chicago, IL, USA
^c Metropolitan Group Hospitals Residency in General Surgery, Chicago, IL, USA

Corresponding author. Tel.: +1-847-723-7200; fax: +1-847-696-3394.

Abstract

Background

This study analyzed the experience of residents performing their first robotic intestinal anastomosis.

Methods

Eleven residents were tested. Participants performed 2 ex vivo hand-sewn suture lines followed by 3 robotic suture lines.

Results

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.

Conclusions

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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Keywords : Resident education, Robotic training, Haptic, Teaching, Learning curve