Article ; Online: Assessment of the training program for Versius, a new innovative robotic system for use in minimal access surgery.
BMJ surgery, interventions, & health technologies
2021 Volume 3, Issue 1, Page(s) e000057
Abstract: Objectives: The Versius surgical system has been developed for use in robot-assisted minimal access surgery (MAS). This study aimed to evaluate the effectiveness of the Versius training program.: Design: A 3.5-day program following 10 hours of online ...
Abstract | Objectives: The Versius surgical system has been developed for use in robot-assisted minimal access surgery (MAS). This study aimed to evaluate the effectiveness of the Versius training program. Design: A 3.5-day program following 10 hours of online didactic training. Participants were assessed during the technical training using the Global Evaluative Assessment of Robotic Skills (GEARS). Setting: Dry box exercises were conducted in classrooms, and wet lab sessions simulated an operating room environment using cadaveric specimens. Participants: Seventeen surgical teams participated; surgeons represented general, colorectal, obstetrics/gynecology, and urology specialties. All surgeons had previous laparoscopic MAS experience, while experience with robotics varied. Main outcomes measures: Participants were scored on a five-point Likert Scale for each of six validated GEARS domains (depth perception, bimanual dexterity, efficiency, force sensitivity, autonomy, and robotic control). Additional metrics used to chart surgeon performance included: combined instrument path length; combined instrument angular path; and time taken to complete each task. Results: Participants demonstrated an overall improvement in performance during the study, with a mean GEARS Score of 21.0 (SD: 1.9) in Assessment 1 increasing to 23.4 (SD: 2.9) in Validation. Greatest improvements were observed in the depth perception and robotic control domains. Greatest differences were observed when stratifying by robotic experience; those with extensive experience consistently scored higher than those with some or no experience. Conclusions: The Versius training program is effective; participants were able to successfully operate the system by program completion, and more surgeons achieved intermediate-level and expert-level GEARS scores in Validation compared with Assessment 1. |
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Language | English |
Publishing date | 2021-10-18 |
Publishing country | England |
Document type | Journal Article |
ISSN | 2631-4940 |
ISSN (online) | 2631-4940 |
DOI | 10.1136/bmjsit-2020-000057 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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