PMID- 37441345
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230718
IS  - 2666-1683 (Electronic)
IS  - 2666-1691 (Print)
IS  - 2666-1683 (Linking)
VI  - 53
DP  - 2023 Jul
TI  - Prior Robotic Console Expertise May Improve Basic Skills at the New Hugo RAS 
      Simulator: Results from a Cohort Trial and Implications for Skill Transference 
      Across Platforms.
PG  - 83-89
LID - 10.1016/j.euros.2023.04.008 [doi]
AB  - BACKGROUND: Robot-assisted surgery ensures minimal invasiveness; since the expiry 
      of the Da Vinci patent, new robotic systems have entered the market. Recently, 
      the Hugo RAS received CE approval for several surgical procedures. However, more 
      is needed to know about skill acquisition at the new simulator. OBJECTIVE: This 
      study aims to analyse the factors impacting basic surgical skills at the Hugo RAS 
      simulator. DESIGN SETTING AND PARTICIPANTS: We present a cross-sectional study 
      involving 71 participants of different backgrounds invited to a hands-on session 
      with the Hugo RAS simulator voluntarily. All of them had no prior expertise with 
      the system. Participants were recruited among medical/nurse students, residents, 
      and laparoscopic and robotic surgeons. INTERVENTION: All participants underwent a 
      hands-on "pick and place" exercise at the Hugo RAS simulator; the metrics of a 
      second-round pick and place exercise were recorded. OUTCOME MEASUREMENTS AND 
      STATISTICAL ANALYSIS: Metrics were analysed with regard to the following 
      variables: demographics, videogame use, and prior surgical experience (no 
      surgical expertise, experience with laparoscopy, and experience with robotic 
      console). RESULTS AND LIMITATIONS: All participants completed the test. Of them, 
      77.5% were naive to surgery, 8.5% had prior laparoscopic expertise, and 14.1% had 
      prior robotic console experience. The time to complete the pick and place 
      exercise was significantly lower (p < 0.001) among prior robotic surgeons (38 s, 
      interquartile range [IQR] 34-45) compared with both naive participants (61 s, IQR 
      53-71) and laparoscopists (93 s, IQR 53-162). The overall score of the exercise 
      decreased with age (p = 0.046); however, the overall scores were significantly 
      and steadily higher among surgeons experienced in robotic consoles across all age 
      groups (p = 0.006). Neither gender (p = 0.7) nor videogame use (p = 0.9) 
      correlated significantly with the metrics. CONCLUSIONS: This is the first study 
      analysing factors impacting basic skill acquisition at a new robotic simulator. 
      Experience with robotic consoles may represent a major factor, raising the 
      hypothesis of the transferability of basic robotic skills across different 
      robotic systems. Further studies are required to explore this issue. PATIENT 
      SUMMARY: In the present study, we analysed which characteristics may affect the 
      basic surgical skills at a novel robotic platform.
CI  - (c) 2023 The Authors.
FAU - Sighinolfi, Maria Chiara
AU  - Sighinolfi MC
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Terzoni, Stefano
AU  - Terzoni S
AD  - San Paolo Bachelor School of Nursing, ASST Santi Paolo e Carlo, Milan, Italy.
FAU - Scanferla, Elena
AU  - Scanferla E
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Bianchi, Pietro Paolo
AU  - Bianchi PP
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Formisano, Giampaolo
AU  - Formisano G
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Piccolo, Gaetano
AU  - Piccolo G
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Barabino, Matteo
AU  - Barabino M
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Pisani, Andrea
AU  - Pisani A
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Salaj, Adelona
AU  - Salaj A
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Gaia, Giorgia
AU  - Gaia G
AD  - Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Marconi, Anna Maria
AU  - Marconi AM
AD  - Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Turri, Filippo
AU  - Turri F
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Sangalli, Mattia
AU  - Sangalli M
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Centanni, Stefano
AU  - Centanni S
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
AD  - Department of Health Sciences, La Statale University of Milan, Milan, Italy.
FAU - Stocco, Matteo
AU  - Stocco M
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
AD  - Department of Health Sciences, La Statale University of Milan, Milan, Italy.
FAU - Chiumello, Davide
AU  - Chiumello D
AD  - Unit of Anesthesiology, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Assumma, Simone
AU  - Assumma S
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Sarchi, Luca
AU  - Sarchi L
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Calcagnile, Tommaso
AU  - Calcagnile T
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Panio, Enrico
AU  - Panio E
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Grasso, Angelica
AU  - Grasso A
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Dell'Orto, Paolo
AU  - Dell'Orto P
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Mariani, Nicolo Maria
AU  - Mariani NM
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Verrusio, Clemente
AU  - Verrusio C
AD  - Unit of General Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Baisi, Alessandro
AU  - Baisi A
AD  - Unit of Thoracic Surgery, ASST Santi Paolo and Carlo, Milan, Italy.
FAU - Bozzini, Giorgio
AU  - Bozzini G
AD  - Unit of Urology, ASST Lariana, Como, Italy.
FAU - Rocco, Bernardo
AU  - Rocco B
AD  - Unit of Urology, Department of Health Science, La Statale University of Milan, 
      Milan, Italy.
AD  - ASST Santi Paolo and Carlo, Milan, Italy.
LA  - eng
PT  - Journal Article
DEP - 20230602
PL  - Netherlands
TA  - Eur Urol Open Sci
JT  - European urology open science
JID - 101771568
PMC - PMC10334229
OTO - NOTNLM
OT  - Basic robotic skill acquisition
OT  - Hugo RAS
OT  - Robotic
OT  - Simulator
EDAT- 2023/07/13 19:15
MHDA- 2023/07/13 19:16
PMCR- 2023/06/02
CRDT- 2023/07/13 15:25
PHST- 2023/04/12 00:00 [accepted]
PHST- 2023/07/13 19:16 [medline]
PHST- 2023/07/13 19:15 [pubmed]
PHST- 2023/07/13 15:25 [entrez]
PHST- 2023/06/02 00:00 [pmc-release]
AID - S2666-1683(23)00198-2 [pii]
AID - 10.1016/j.euros.2023.04.008 [doi]
PST - epublish
SO  - Eur Urol Open Sci. 2023 Jun 2;53:83-89. doi: 10.1016/j.euros.2023.04.008. 
      eCollection 2023 Jul.