title: Prior experience in micro-surgery may improve the surgeon's performance in robotic surgical training.
abstract: BACKGROUND
  Robotic surgery has witnessed a huge expansion. Robotic simulators have proved to be of major interest in training. Some authors have suggested that prior experience in micro-surgery could improve robotic surgery training.
  
  
  OBJECTIVE
  To test micro-surgery as a new approach in training, we proposed a prospective study comparing the surgical performance of micro-surgeons with that of general surgeons on a robotic simulator.
  
  
  METHODS
  49 surgeons were enrolled; 11 in the micro-surgery group (MSG); 38 n the control group (CG). Performance was evaluated based on five dV-Trainer® exercises.
  
  
  RESULTS
  MSG achieved better results for all exercises including exercises requiring visual evaluation of force feed-back, economy of motion, instrument force and position.
  
  
  CONCLUSIONS
  These results show that experience in micro-surgery could significantly improve surgeons' abilities and their performance in robotic training. So, as micro-surgery practice is relatively cheap, it could be easily included in basic robotic surgery training.
authors.affiliation: IADI Laboratory, INSERM- U947, Lorraine University, Allée du Morvan, 54500, Vandoeuvre-les-Nancy, France; Department of Emergency and General Surgery, Central Hospital, University Hospital of Nancy, Avenue du Marechal de Lattre de Tassigny, 54000, Nancy, France.
authors.forename: Manuela
authors.initials: M
authors.lastname: Perez
authors.forename: Cyril
authors.initials: C
authors.lastname: Perrenot
authors.forename: Nguyen
authors.initials: N
authors.lastname: Tran
authors.forename: Gabriela
authors.initials: G
authors.lastname: Hossu
authors.forename: Jacques
authors.initials: J
authors.lastname: Felblinger
authors.forename: Jacques
authors.initials: J
authors.lastname: Hubert
mesh_terms: D002983:Clinical Competence; D003198:Computer Simulation; D003194:Computer-Assisted Instruction / Q000379:methods; D006804:Ergonomics; D005602:France; D006801:Humans; D008866:Microsurgery; D011446:Prospective Studies; D012371:Robotics / Q000193:education* / Q000295:instrumentation; D025321:Surgery, Computer-Assisted / Q000193:education* / Q000295:instrumentation; D013663:Teaching / Q000379:methods; D014584:User-Computer Interface
keywords: dV-Trainer® simulator; microsurgical and robotic training; robotic pedagogical training; surgical robotics