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Erschienen in: Journal of Robotic Surgery 3/2019

22.02.2019 | Review Article

Robotic simulation training for urological trainees: a comprehensive review on cost, merits and challenges

verfasst von: Eoin MacCraith, James C. Forde, Niall F. Davis

Erschienen in: Journal of Robotic Surgery | Ausgabe 3/2019

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Abstract

Simulation in surgery is a safe and cost-effective way of training. Operating room performance is improved after simulation training. The necessary attributes of surgical simulators are acceptability and cost-effectiveness. It is also necessary for a simulator to demonstrate face, content, predictive, construct and concurrent validity. Urologists have embraced robot-assisted surgery. These procedures require steep learning curves. There are 6 VR simulators available for robot-assisted surgery; the daVinci Skills Simulator (dVSS), the Mimic dV Trainer (MdVT), the ProMIS simulator, the Simsurgery Educational Platform (SEP) simulator, the Robotic Surgical Simulator (RoSS) and the RobotiX Mentor (RM). Their efficacy is limited by the lack of comparative studies, standardisation of validation and high cost. There are a number of robotic surgery training curricula developed in recent years which successfully include simulation training. There are growing calls for these simulators to be incorporated into the urology training curriculum globally to shorten the learning curve without compromising patient safety. Surgical educators in urology should aim to develop a cost-effective, acceptable, validated simulator that can be incorporated into a standardised, validated robot-assisted surgery training curriculum for the next generation of robotic surgeons.
Literatur
1.
Zurück zum Zitat Abbou CC, Hoznek A, Salomon L et al (2000) Remote laparoscopic radical prostatectomy carried out with a robot. Report of a case. Prog Urol 10(4):520–523PubMed Abbou CC, Hoznek A, Salomon L et al (2000) Remote laparoscopic radical prostatectomy carried out with a robot. Report of a case. Prog Urol 10(4):520–523PubMed
2.
Zurück zum Zitat Hoznek A (2008) History of robotic surgery in urology. In: John H, Wiklund P (eds) Robotic urology. Springer, Berlin Hoznek A (2008) History of robotic surgery in urology. In: John H, Wiklund P (eds) Robotic urology. Springer, Berlin
3.
Zurück zum Zitat Guzzo TJ, Gonzalgo ML (2009) Robotic surgical training of the urologic oncologist. Urol Oncol 27:214–217CrossRef Guzzo TJ, Gonzalgo ML (2009) Robotic surgical training of the urologic oncologist. Urol Oncol 27:214–217CrossRef
4.
Zurück zum Zitat Guru KA, Kuvshinoff BW, Pavlov- Shapiro S et al (2007) Impact of robotics and laparoscopy on surgical skills: a comparative study. J Am Coll Surg 204:96–101CrossRef Guru KA, Kuvshinoff BW, Pavlov- Shapiro S et al (2007) Impact of robotics and laparoscopy on surgical skills: a comparative study. J Am Coll Surg 204:96–101CrossRef
5.
Zurück zum Zitat Gawande AA, Zinner MJ, Studdert DM et al (2003) Analysis of errors reported by surgeons at three teaching hospitals. Surgery 133(6):614e21CrossRef Gawande AA, Zinner MJ, Studdert DM et al (2003) Analysis of errors reported by surgeons at three teaching hospitals. Surgery 133(6):614e21CrossRef
6.
Zurück zum Zitat Rosen KR (2008) The history of medical simulation. J Crit Care 23:157–166CrossRef Rosen KR (2008) The history of medical simulation. J Crit Care 23:157–166CrossRef
7.
Zurück zum Zitat Kallstrom R, Hjertberg H, Svanvik J (2010) Impact of virtual reality-simulated training on urology residents’ performance of transurethral resection of the prostate. J Endourol/Endourol Soc 24(9):1521e8 Kallstrom R, Hjertberg H, Svanvik J (2010) Impact of virtual reality-simulated training on urology residents’ performance of transurethral resection of the prostate. J Endourol/Endourol Soc 24(9):1521e8
8.
Zurück zum Zitat Hamilton EC, Scott DJ, Fleming JB et al (2002) Comparison of video trainer and virtual reality training systems on acquisition of laparoscopic skills. Surg Endosc 16(3):406–411CrossRef Hamilton EC, Scott DJ, Fleming JB et al (2002) Comparison of video trainer and virtual reality training systems on acquisition of laparoscopic skills. Surg Endosc 16(3):406–411CrossRef
9.
Zurück zum Zitat Limberg AA (1984) The planning of local plastic operations on the body surface: theory and practice. DC Health and Company, Lexington Limberg AA (1984) The planning of local plastic operations on the body surface: theory and practice. DC Health and Company, Lexington
10.
Zurück zum Zitat Agha RA, Fowler AJ (2015) The role and validity of surgical simulation. Int Surg 100(2):350–357CrossRef Agha RA, Fowler AJ (2015) The role and validity of surgical simulation. Int Surg 100(2):350–357CrossRef
11.
Zurück zum Zitat Seymour NE, Gallagher AG, Roman SA et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236(4):458–463 (discussion 463–4) CrossRef Seymour NE, Gallagher AG, Roman SA et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236(4):458–463 (discussion 463–4) CrossRef
12.
Zurück zum Zitat ACGME (2008) Program requirements of graduate medical education in surgery. Residency Review Committee. Accreditation Council for Graduate Medical Education, Chicago ACGME (2008) Program requirements of graduate medical education in surgery. Residency Review Committee. Accreditation Council for Graduate Medical Education, Chicago
13.
Zurück zum Zitat Abboudi H, Khan MS, Aboumarzouk O et al (2013) Current status of validation for robotic surgery simulators—a systematic review. BJU Int 111(2):194–205CrossRef Abboudi H, Khan MS, Aboumarzouk O et al (2013) Current status of validation for robotic surgery simulators—a systematic review. BJU Int 111(2):194–205CrossRef
14.
Zurück zum Zitat Brewin J, Ahmed K, Challacombe B (2014) An update and review of simulation in urological training. Int J Surg 12(2):103–108CrossRef Brewin J, Ahmed K, Challacombe B (2014) An update and review of simulation in urological training. Int J Surg 12(2):103–108CrossRef
15.
Zurück zum Zitat Schout BM, Muijtjens AM, Hendrikx AJ et al (2010) Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices. BJU Int 105:234–239CrossRef Schout BM, Muijtjens AM, Hendrikx AJ et al (2010) Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices. BJU Int 105:234–239CrossRef
16.
Zurück zum Zitat Mishra S, Kurien A, Patel R et al (2010) Validation of virtual reality simulation for percutaneous renal access training. J Endourol 24:635–640CrossRef Mishra S, Kurien A, Patel R et al (2010) Validation of virtual reality simulation for percutaneous renal access training. J Endourol 24:635–640CrossRef
17.
Zurück zum Zitat Amirian MJ, Lindner SM, Trabulsi EJ et al (2014) Surgical suturing training with virtual reality simulation versus dry lab practice: an evaluation of performance improvement, content, and face validity. J Robotic Surg 8:329–335CrossRef Amirian MJ, Lindner SM, Trabulsi EJ et al (2014) Surgical suturing training with virtual reality simulation versus dry lab practice: an evaluation of performance improvement, content, and face validity. J Robotic Surg 8:329–335CrossRef
18.
Zurück zum Zitat Hung AJ, Zehnder P, Patil MB et al (2011) Face, content and construct validity of a novel robotic surgery simulator. J Urol 186:1019–1024CrossRef Hung AJ, Zehnder P, Patil MB et al (2011) Face, content and construct validity of a novel robotic surgery simulator. J Urol 186:1019–1024CrossRef
19.
Zurück zum Zitat Kenney PA, Wszolek MF, Gould JJ et al (2009) Face, content, and construct validity of dV-trainer, a novel virtual reality simulator for robotic surgery. Urology 73:1288–1292CrossRef Kenney PA, Wszolek MF, Gould JJ et al (2009) Face, content, and construct validity of dV-trainer, a novel virtual reality simulator for robotic surgery. Urology 73:1288–1292CrossRef
20.
Zurück zum Zitat Feifer A, Al-Ammari A, Kovac E et al (2011) Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training. BJU Int 108:1652–1656CrossRef Feifer A, Al-Ammari A, Kovac E et al (2011) Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training. BJU Int 108:1652–1656CrossRef
21.
Zurück zum Zitat Jonsson MN, Mahmood M, Askerud T et al (2011) ProMIS can serve as a da Vinci® simulator—a construct validity study. J Endourol 25:345–350CrossRef Jonsson MN, Mahmood M, Askerud T et al (2011) ProMIS can serve as a da Vinci® simulator—a construct validity study. J Endourol 25:345–350CrossRef
22.
Zurück zum Zitat McDonough P, Peterson A, Brand T (2010) Initial validation of the ProMIS surgical simulator as an objective measure of robotic task performance. J Urol 183(Suppl.):e515 McDonough P, Peterson A, Brand T (2010) Initial validation of the ProMIS surgical simulator as an objective measure of robotic task performance. J Urol 183(Suppl.):e515
23.
Zurück zum Zitat Shamim Khan M, Ahmed K, Gavazzi A et al (2013) Development and implementation of centralized simulation training: evaluation of feasibility, acceptability and construct validity. BJU Int 111(3):518–523CrossRef Shamim Khan M, Ahmed K, Gavazzi A et al (2013) Development and implementation of centralized simulation training: evaluation of feasibility, acceptability and construct validity. BJU Int 111(3):518–523CrossRef
24.
Zurück zum Zitat Balasundaram I, Aggarwal R, Darzi A (2008) Short-phase training on a virtual reality simulator improves technical performance in tele-robotic surgery. Int J Med Robot 4(2):139–145CrossRef Balasundaram I, Aggarwal R, Darzi A (2008) Short-phase training on a virtual reality simulator improves technical performance in tele-robotic surgery. Int J Med Robot 4(2):139–145CrossRef
25.
Zurück zum Zitat Gavazzi A, Bahsoun AN, Van Haute W et al (2011) Face, content and construct validity of a virtual reality simulator for robotic surgery (SEP Robot). Ann R Coll Surg Engl 93:146–150CrossRef Gavazzi A, Bahsoun AN, Van Haute W et al (2011) Face, content and construct validity of a virtual reality simulator for robotic surgery (SEP Robot). Ann R Coll Surg Engl 93:146–150CrossRef
26.
Zurück zum Zitat Guru KA, Baheti A, Kesavadas T et al (2009) In-vivo videos enhance cognitive skills for Da Vinci surgical system. J Urol 181(Suppl.):823 (abstract 2272) CrossRef Guru KA, Baheti A, Kesavadas T et al (2009) In-vivo videos enhance cognitive skills for Da Vinci surgical system. J Urol 181(Suppl.):823 (abstract 2272) CrossRef
27.
Zurück zum Zitat Kesavadas T, Kumar A, Srimathveeravalli G et al (2009) Efficacy of robotic surgery simulator (RoSS) for the da Vinci® surgical system. J Urol 181(Suppl.):823CrossRef Kesavadas T, Kumar A, Srimathveeravalli G et al (2009) Efficacy of robotic surgery simulator (RoSS) for the da Vinci® surgical system. J Urol 181(Suppl.):823CrossRef
28.
Zurück zum Zitat Seixas-Mikelus SA, Stegemann AP, Kesavadas T et al (2011) Content validation of a novel robotic surgical simulator. BJU Int 107:1130–1135CrossRef Seixas-Mikelus SA, Stegemann AP, Kesavadas T et al (2011) Content validation of a novel robotic surgical simulator. BJU Int 107:1130–1135CrossRef
29.
Zurück zum Zitat Le CQ, Lightner DJ, VanderLei L et al (2007) The current role of medical simulation in American urological residency training programs: an assessment by program directors. J Urol 177(1):288–291CrossRef Le CQ, Lightner DJ, VanderLei L et al (2007) The current role of medical simulation in American urological residency training programs: an assessment by program directors. J Urol 177(1):288–291CrossRef
30.
Zurück zum Zitat Ahmed K, Jawad M, Abboudi M et al (2011) Effectiveness of procedural simulation in urology: a systematic review. J Urol 186:26–34CrossRef Ahmed K, Jawad M, Abboudi M et al (2011) Effectiveness of procedural simulation in urology: a systematic review. J Urol 186:26–34CrossRef
31.
Zurück zum Zitat Hertz AM, George EI, Vaccaro CM et al (2018) Head-to-head comparison of three virtual-reality robotic surgery simulators. JSLS. 22(1):e2017.00081CrossRef Hertz AM, George EI, Vaccaro CM et al (2018) Head-to-head comparison of three virtual-reality robotic surgery simulators. JSLS. 22(1):e2017.00081CrossRef
32.
Zurück zum Zitat Whittaker G, Aydin A, Raison N et al (2016) Validation of the robotiX mentor robotic surgery simulator. J Endourol 30(3):338–346CrossRef Whittaker G, Aydin A, Raison N et al (2016) Validation of the robotiX mentor robotic surgery simulator. J Endourol 30(3):338–346CrossRef
34.
Zurück zum Zitat Mottrie A, Novara G, van der Poel H et al (2016) The European Association of Urology robotic training curriculum: an update. Eur Urol Focus 2(1):105–108CrossRef Mottrie A, Novara G, van der Poel H et al (2016) The European Association of Urology robotic training curriculum: an update. Eur Urol Focus 2(1):105–108CrossRef
35.
Zurück zum Zitat Volpe A, Ahmed K, Dasgupta P et al (2015) Pilot Validation Study of the European Association of Urology Robotic Training Curriculum. Eur Urol 68(2):292–299CrossRef Volpe A, Ahmed K, Dasgupta P et al (2015) Pilot Validation Study of the European Association of Urology Robotic Training Curriculum. Eur Urol 68(2):292–299CrossRef
36.
Zurück zum Zitat Stolzenburg JU, Qazi HA, Rai BP (2015) The European Association of Urology robotic training curriculum: the journey has only just begun. Eur Urol 68:300–301CrossRef Stolzenburg JU, Qazi HA, Rai BP (2015) The European Association of Urology robotic training curriculum: the journey has only just begun. Eur Urol 68:300–301CrossRef
37.
Zurück zum Zitat Fisher RA, Dasgupta P, Mottrie A et al (2015) An over-view of robot assisted surgery curricula and the status of their validation. Int J Surg 13:115–123CrossRef Fisher RA, Dasgupta P, Mottrie A et al (2015) An over-view of robot assisted surgery curricula and the status of their validation. Int J Surg 13:115–123CrossRef
38.
Zurück zum Zitat Veneziano D, Smith A, Reihsen T, Speich J, Sweet RM (2015) The SimPORTAL fluoro-less C-arm trainer: an innovative device for percutaneous kidney access. J Endourol 29:240–245CrossRef Veneziano D, Smith A, Reihsen T, Speich J, Sweet RM (2015) The SimPORTAL fluoro-less C-arm trainer: an innovative device for percutaneous kidney access. J Endourol 29:240–245CrossRef
39.
Zurück zum Zitat Moglia A, Ferrari V, Morelli L, Ferrari M, Mosca F, Cuschieri A (2016) A systematic review of virtual reality simulators for robot-assisted surgery. Eur Urol 69(6):1065–1080CrossRef Moglia A, Ferrari V, Morelli L, Ferrari M, Mosca F, Cuschieri A (2016) A systematic review of virtual reality simulators for robot-assisted surgery. Eur Urol 69(6):1065–1080CrossRef
40.
Zurück zum Zitat Roscoe SN, Williges BH (1980) Measurement of transfer of training. In: Roscoe SN (ed) Aviation psychology. The Iowa State University Press, Iowa Roscoe SN, Williges BH (1980) Measurement of transfer of training. In: Roscoe SN (ed) Aviation psychology. The Iowa State University Press, Iowa
41.
42.
Zurück zum Zitat Seixas-Mikelus SA, Kesavadas T, Srimathveeravalli G, Chandrasekhar R, Wilding GE, Guru KA (2010) Face validation of a novel robotic surgical simulator. Urology 76(2):357–360CrossRef Seixas-Mikelus SA, Kesavadas T, Srimathveeravalli G, Chandrasekhar R, Wilding GE, Guru KA (2010) Face validation of a novel robotic surgical simulator. Urology 76(2):357–360CrossRef
43.
Zurück zum Zitat Korets R, Mues AC, Graversen JA, Gupta M, Benson MC, Cooper KL, Landman J, Badani KK (2011) Validating the use of the Mimic dV-trainer for robotic surgery skill acquisition among urology residents. Urology 78(6):1326–1330CrossRef Korets R, Mues AC, Graversen JA, Gupta M, Benson MC, Cooper KL, Landman J, Badani KK (2011) Validating the use of the Mimic dV-trainer for robotic surgery skill acquisition among urology residents. Urology 78(6):1326–1330CrossRef
Metadaten
Titel
Robotic simulation training for urological trainees: a comprehensive review on cost, merits and challenges
verfasst von
Eoin MacCraith
James C. Forde
Niall F. Davis
Publikationsdatum
22.02.2019
Verlag
Springer London
Erschienen in
Journal of Robotic Surgery / Ausgabe 3/2019
Print ISSN: 1863-2483
Elektronische ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-019-00934-1

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