OJOG  Vol.3 No.2 , March 2013
Role of robotic assistance in the learning of laparoscopy: Comparison of novice students’ results in two FLS trials
Abstract: Background: To investigate the learning curve of “robotic surgery” versus “conventional laparoscopy” in two trials of the FLS program in a population of medical students with no experience in laparoscopy. Methods: A prospective trial. Students, all novices in training and surgical practice, were randomized into 2 groups: the “traditional laparoscopy” group and the “robotic assistance” group. Students were evaluated during two tests from the FLS: peg transfer and intracorporeal knot tying. Results: The median laparoscopic knot completion time was significantly lower in the “robotic surgery” group (p = 0.038). Conclusions: Robotic assistance training in neophytes is effective in improving the completion time of laparoscopic knots.
Cite this paper: Frigenza, M. , Delotte, J. , Fontas, E. , Benchimol, D. , Bongain, A. and Breaud, J. (2013) Role of robotic assistance in the learning of laparoscopy: Comparison of novice students’ results in two FLS trials. Open Journal of Obstetrics and Gynecology, 3, 292-295. doi: 10.4236/ojog.2013.32054.

[1]   Holloway, R.W., Patel, S.D. and Ahmad, S. (2009) Robotic surgery in gynecology. Scandinavian Journal of Surgery, 98, 96-109.

[2]   Skolarus, T., Zhang, Y., Brent, K., et al. (2010) Robotic surgery in urologic oncology gathering the evidence. Expert Review of Pharmacoeconomics & Outcomes Research, 10, 421-432.

[3]   Stefanidis, D., Wang, F., James, R., et al. (2010) Robotic assistance improves intracorporeal suturing performance and safety in the operating room while decreasing operator workload. Surgical Endoscopy, 24, 377-382. doi:10.1007/s00464-009-0578-0

[4]   Soper, N.J. and Fried, G.M. (2008) The fundamentals of laparoscopic surgery: Its time has come. Bulletin of the American College of Surgeons, 93, 30-32.

[5]   Delotte, J., Mialon, O., Bouaziz, S., et al. (2011) Is there a real place for robotics in proximal tubal surgery? Gynecol Obstet Fertil, 39, 509-510. doi:10.1016/j.gyobfe.2011.07.001

[6]   Botden, S., De Hingh, I. and Jakimowicz, J. (2009) Suturing training in augmented reality: Gaining proficiency in suturing skills faster. Surgical Endoscopy, 23, 2131-2137. doi:10.1007/s00464-008-0240-2

[7]   De Ugarte, D., Etzioni, D., Gracia, C., et al. (2003) Robotic surgery and resident training. Surgical Endoscopy, 17, 960-963. doi:10.1007/s00464-002-8745-6

[8]   Sroka, G., Feldman, L.S., Vassiliou, M.C., et al. (2010) Fundamentals of laparoscopic surgery simulator training to proficiency improves laparoscopic performance in the operating room-a randomized controlled trial. The American Journal of Surgery, 199, 115-120. doi:10.1016/j.amjsurg.2009.07.035

[9]   Edelman, D.A., Mattos, M.A. and Bouwman, D.L. (2010) FLS skill retention (learning) in first year surgery residents. Journal of Surgical Research, 163, 24-28. doi:10.1016/j.jss.2010.03.057