Training for next generation surgeons: a pilot study of robot-assisted hysterectomy managed by resident using dual console

Purpose To 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.

A 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.

No 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).

Standardized 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. Similar content being viewed by others

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Facts Views Vis ObGyn 11:29–41 Acknowledgments We would like to thank the nurses who helped us to run this program. The authors are grateful to Mrs. Sylvie Gauthier for editing the manuscript. Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Author information Authors and Affiliations Contributions Gauthier 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. Corresponding author Ethics declarations Conflicts of interest The authors declare no competing interests related to this study. Ethical approval All 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. Informed consent Informed consent was obtained from all individual participants included in the study. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Electronic supplementary material Below is the link to the electronic supplementary material. Supplementary material 1 Video: Standardized robot-assisted hysterectomy (WMV 57 kb) Rights and permissions About this article Cite this article Klapczynski, 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 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00404-020-05870-2