{"paper_id":"5b038bee-e17c-480a-9018-ec5f7b96c801","body_text":"Abstract\nPurpose\nTo assess feasibility of a standardized robot-assisted hysterectomy managed by resident and supervised by senior surgeon using dual-console on a 21-step grid (max score = 42) assessing resident autonomy.\nMethods\nA total of seven patients managed between September 2019 and March 2020 by six residents in gynecology and obstetrics were included. Standardized robot-assisted hysterectomy for endometrial cancer or adenomyosis was performed.\nResults\nNo conversion to laparotomy, no intra- or post-operative incidents were reported. Mean score on the evaluation scale was 29.8 out of 42 (SD = 7.3). Mean operative time was 104 min (SD = 23). Mean average suturing time was, respectively, 335 s (SD = 57 s) and 270 s (SD = 53 s) for the first and the fourth knot. There was a 65 s improvement between the first and the fourth intracorporeal knot (p = 0.043). The perceived workload evaluated with the NASA TLX score showed a low level of stress (Temporal demand = 1.6 /10), and a low level of frustration (Frustration level = 3.6/10). Experience gained during the surgery was felt to be important (Commitment = 8.6/10).\nConclusion\nStandardized robot-assisted hysterectomy managed by a resident supervised by a senior surgeon using the dual-console seems feasible. This tool could be useful to assess residents’ surgical skills.\nSimilar content being viewed by others\nReferences\nLavoue V, Collinet P, Fernandez H (2020) Robotic surgery in gynecology: has France lost its leadership in minimally invasive surgery? J Gynecol Obstet Hum Reprod 49:101708. https://doi.org/10.1016/j.jogoh.2020.101708\nMoola D, Westermann LB, Pauls R, Eschenbacher M, Crisp C (2016) The impact of robotic-assisted surgery on training gynecology residents. 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The authors are grateful to Mrs. Sylvie Gauthier for editing the manuscript.\nFunding\nThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.\nAuthor information\nAuthors and Affiliations\nContributions\nGauthier Tristan and Klapczynski Clémence designed and directed the project. Margueritte François and Lacorre Aymeline verified the analytical methods. Sallée Camille, Tardieu Antoine, Peschot Clémence, Boutot Manon, Mohand Nadia contributed to sample preparation. All authors discussed the results and contributed to the final manuscript.\nCorresponding author\nEthics declarations\nConflicts of interest\nThe authors declare no competing interests related to this study.\nEthical approval\nAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.\nInformed consent\nInformed consent was obtained from all individual participants included in the study.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nElectronic supplementary material\nBelow is the link to the electronic supplementary material.\nSupplementary material 1 Video: Standardized robot-assisted hysterectomy (WMV 57 kb)\nRights and permissions\nAbout this article\nCite this article\nKlapczynski, C., Sallée, C., Tardieu, A. et al. Training for next generation surgeons: a pilot study of robot-assisted hysterectomy managed by resident using dual console. Arch Gynecol Obstet 303, 981–986 (2021). https://doi.org/10.1007/s00404-020-05870-2\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-020-05870-2","source_license":"CC0","license_restricted":false}