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Techniques in Coloproctology

, Volume 21, Issue 9, pp 721–727 | Cite as

Initial experience with a dual-console robotic-assisted platform for training in colorectal surgery

  • J. C. Bolger
  • M. P. Broe
  • M. A. Zarog
  • A. Looney
  • K. McKevitt
  • D. Walsh
  • S. Giri
  • C. Peirce
  • J. C. Coffey
Original Article

Abstract

Background

Minimally invasive surgery is associated with several patient-related benefits, including reduced length of hospital stay and reduced blood loss. Robotic-assisted surgery offers many advantages when compared with standard laparoscopic procedures, including a stable three-dimensional binocular camera platform, motion smoothing and motion scaling, improved dexterity and ergonomics. There are limited data on the effectiveness of the dual-console DaVinci Xi platform for teaching resident surgeons. The goal of this study was to examine preliminary outcomes following the introduction of a dual-console robotic platform in our institution.

Methods

A retrospective review of our prospectively maintained patient database was performed. The first ten dual-console resident-performed procedures in colorectal surgery were compared with matched cases performed on a single console by the trainer. Patient demographics, operative times and patient outcomes were compared.

Results

Twenty patients were included in this study. There was no significant difference in console time (p = 0.46) or total operative time (p = 0.52) when residents and trainers were compared. Patient outcomes were equivalent, with no difference in length of stay, morbidity or mortality.

Conclusions

The DaVinci Xi dual-console platform is a safe and effective platform for training junior surgeons. The dual-console system has the potential to alter surgical training pathways.

Keywords

Robotic surgery Minimally invasive Resident training 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Ethical approval was provided by the local ethics committee.

Informed consent

All patients gave consent for inclusion.

Supplementary material

Supplementary material 1 (MP4 98819 kb)

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • J. C. Bolger
    • 1
  • M. P. Broe
    • 2
  • M. A. Zarog
    • 1
  • A. Looney
    • 2
  • K. McKevitt
    • 1
  • D. Walsh
    • 3
  • S. Giri
    • 2
  • C. Peirce
    • 1
  • J. C. Coffey
    • 1
    • 3
  1. 1.Department of Colorectal SurgeryUniversity Hospital LimerickLimerickIreland
  2. 2.Department of UrologyUniversity Hospital LimerickLimerickIreland
  3. 3.Graduate Entry Medical SchoolUniversity of LimerickLimerickIreland

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