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Development and Validation of the Metric-Based Assessment of a Robotic Vessel Dissection, Vessel Loop Positioning, Clip Applying and Bipolar Coagulation Task on an Avian Model

2022Journal article Open access
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dc.contributor.authorPuliatti, S
dc.contributor.authorAmato, M
dc.contributor.authorMazzone, E
dc.contributor.authorRosiello, G
dc.contributor.authorDe Groote, R
dc.contributor.authorPiazza, P
dc.contributor.authorSarchi, L
dc.contributor.authorFarinha, R
dc.contributor.authorMottrie, A
dc.contributor.authorGallagher, AG
dc.date.accessioned2022-06-07T11:07:59Z
dc.date.available2022-06-07T11:07:59Z
dc.date.issued2022
dc.description.abstractThe evolution of robotic technology and its diffusion does not seem to have been adequately accompanied by the development and implementation of surgeon training programs that ensure skilled and safe device use at the start of the learning curve. The objective of the study is to develop and validate performance metrics for vessel dissection, vessel loop positioning, clip applying and bipolar coagulation using an avian model. Three robotic surgeons and a behavioral scientist characterized the performance metrics of the task according to the proficiency-based progression methodology. Fourteen experienced robotic surgeons from different European countries participated in a modified online Delphi consensus. Eight experienced surgeons and eight novices performed the robotic task twice. In the Delphi meeting, 100% consensus was reached on the performance metrics. Novice surgeons took 26 min to complete the entire task on trial 1 and 20 min on trial 2. Experts took 10.1 min and 9.5 min. On average the Expert Group completed the task 137% faster than the Novice Group. The amount of time to reach the vessel part of the task was also calculated. Novice surgeons took 26 min on trial 1 and 20 min on trial 2. Experts took 5.5 min and 4.8 min. On average the experts reached the vessel 200% faster than the novices. The Expert Group made 155% fewer performance errors than the Novice Group. The mean IRR of video-recorded performance assessments for all metrics was 0.96 (95% confidence intervals (CI) lower = 0.94-upper = 0.98). We report the development and validation for a standard and replicable basic robotic vessel dissection, vessel loop positioning, clip applying and bipolar coagulation task on an avian model. The development of objective performance metrics, based on a transparent and fair methodology (i.e., PBP), is the first fundamental step toward quality assured training. This task developed on the avian model proved to have good results in the validation study.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Robot Surg . 2022 Jun;16(3):677-685.pt_PT
dc.identifier.doi10.1007/s11701-021-01293-6pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4105
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerlinkpt_PT
dc.subjectClinical Competencept_PT
dc.subjectHumanspt_PT
dc.subjectReproducibility of Resultspt_PT
dc.subjectRobotic Surgical Procedures*pt_PT
dc.subjectHCC UROpt_PT
dc.subjectRobotics
dc.subjectSurgeons
dc.titleDevelopment and Validation of the Metric-Based Assessment of a Robotic Vessel Dissection, Vessel Loop Positioning, Clip Applying and Bipolar Coagulation Task on an Avian Modelpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage685pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage677pt_PT
oaire.citation.titleJournal of Robotic Surgerypt_PT
oaire.citation.volume16pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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