Robotic surgery represents one of the most significant technological advancements in modern surgical practice, offering high precision, dexterity, and improved ergonomics. The da Vinci Surgical System, as the current market leader, has profoundly impacted multiple surgical specialties, including pediatric surgery. However, the widespread adoption of robotic platforms has introduced new challenges, particularly about surgical training. Robotic procedures demand a unique skill set (e.g., enhanced hand-eye coordination, three-dimensional perception, complete familiarity with robotic interfaces) resulting in a steeper and more complex learning curve compared to conventional techniques. To address these challenges, a variety of structured training modalities have been developed, including virtual reality simulation, dry and wet lab exercises, fellowships, and proctorships. Virtual Reality (VR) simulators offer immersive, risk-free environments for practice, while wet lab models, using animal or cadaveric tissues, provide realistic tactile feedback essential for mastering tissue handling. Training curricula increasingly follow proficiency-based progression (PBP) models, incorporating objective assessment tools such as the Global Evaluative Assessment of Robotic Skills (GEARS) and the Robotic-Objective Structured Assessment of Technical Skills (R-OSATS). Recent technological innovations, particularly the integration of artificial intelligence (AI) and augmented reality, promise to further enhance training effectiveness by providing real-time feedback and intraoperative guidance. Moreover, teleproctoring and remote mentorship are expanding access to expert instruction, especially in resource-limited settings. This chapter provides a comprehensive overview of the current landscape and future directions in robotic surgery training, emphasizing the need for standardized, accessible, and ethically sound educational pathways to ensure surgical excellence.

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Training in Robotic Surgery

  • Maria Escolino,
  • Annalisa Chiodi,
  • Claudia Di Mento,
  • Leonardo Continisio,
  • Ciro Esposito

摘要

Robotic surgery represents one of the most significant technological advancements in modern surgical practice, offering high precision, dexterity, and improved ergonomics. The da Vinci Surgical System, as the current market leader, has profoundly impacted multiple surgical specialties, including pediatric surgery. However, the widespread adoption of robotic platforms has introduced new challenges, particularly about surgical training. Robotic procedures demand a unique skill set (e.g., enhanced hand-eye coordination, three-dimensional perception, complete familiarity with robotic interfaces) resulting in a steeper and more complex learning curve compared to conventional techniques. To address these challenges, a variety of structured training modalities have been developed, including virtual reality simulation, dry and wet lab exercises, fellowships, and proctorships. Virtual Reality (VR) simulators offer immersive, risk-free environments for practice, while wet lab models, using animal or cadaveric tissues, provide realistic tactile feedback essential for mastering tissue handling. Training curricula increasingly follow proficiency-based progression (PBP) models, incorporating objective assessment tools such as the Global Evaluative Assessment of Robotic Skills (GEARS) and the Robotic-Objective Structured Assessment of Technical Skills (R-OSATS). Recent technological innovations, particularly the integration of artificial intelligence (AI) and augmented reality, promise to further enhance training effectiveness by providing real-time feedback and intraoperative guidance. Moreover, teleproctoring and remote mentorship are expanding access to expert instruction, especially in resource-limited settings. This chapter provides a comprehensive overview of the current landscape and future directions in robotic surgery training, emphasizing the need for standardized, accessible, and ethically sound educational pathways to ensure surgical excellence.