Surgery (RMH) - Theses

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Author: Costello, Daniel Michael × End date: 2023 × Start date: 2020 ×

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    ReSET Robotics Remodelling Surgical Education and Training in Robotics
    Costello, Daniel Michael ( 2022)
    Introduction & Objectives We aimed to develop a urology robotics curriculum that meets the training needs of robotic surgery novices without using live animals. We aimed to design and assess the feasibility of a digital and synthetic organ model curriculum capable of training learners to a level of competency in robotics prior to live surgery. Methods A review of robotic simulation education literature was performed. An online course was designed using Kern’s method for the development of surgical curricula. Learners then progressed to virtual reality simulation training prior to surgeries on a robot assisted radical prostatectomy model fabricated from polyvinyl alcohol, a low-cost hydrogel. Results A complete curriculum was designed and assessed by participants at each stage. This included: A an 11 module online teaching the foundations of robotics. 3 hours of 3D stereoscopic live surgical video. Psychomotor training using virtual reality robotic simulators. Synthetic organ procedural simulation training with objective performance metrics for operative time, blood loss, positive margins, nerve strain, anastomotic leak tests and neurovascular bundle preservation. A system to score live proctored robot assisted radical prostatectomy cases with GEARS and RACE scores which are validated robotic performance scoring systems. Conclusions We have demonstrated the feasibility and preliminary educational validity of a digital training program that includes realistic synthetic human organ models for urological robotic surgery. These surgical models are scalable and offer a viable alternative to live animal surgery without the cost, ethical and accessibility draw backs associated with animal training.