Multiservice laparoscopic surgical training using the daVinci surgical system.
BACKGROUND
The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized.


METHODS
Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2).


RESULTS
The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = -0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = -0.860, P <0.0005).


CONCLUSIONS
New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.
Hanly
Eric J
EJ
Department of Surgery, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.
Marohn
Michael R
MR
Bachman
Sharon L
SL
Talamini
Mark A
MA
Hacker
Sander O
SO
Howard
Robin S
RS
Schenkman
Noah S
NS
D000818:Animals; D004502:Education, Medical, Continuing / Q000379:methods*; D004521:Educational Measurement / Q000379:methods; D013502:General Surgery / Q000193:education*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007858:Learning; D023421:Models, Animal; D012371:Robotics / Q000193:education* / Q000379:methods; D025321:Surgery, Computer-Assisted / Q000193:education*; D013552:Swine