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Surgical Endoscopy

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24-10-2023 | Laparoscopy | Review Article

Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review

Authors: Pia Iben Pietersen, Peter Hertz, Rikke Groth Olsen, Louise Birch Møller, Lars Konge, Flemming Bjerrum

Published in: Surgical Endoscopy | Issue 12/2023

Abstract

Background

Robot-assisted surgery is today well-implemented in many surgical specialties, but requires another skill set than laparoscopy. Most often, robot-assisted surgery is considered add-on to laparoscopic skills but very little is known about the transfer of skills. The aim of the study was to examine to what extent surgical skills are transferable between laparoscopic and robot-assisted surgery.

Methods

A systematic search was conducted in three databases (Ovid Medline, Embase, and Web of Science). Studies investigating transfer of skills between laparoscopy and robot-assisted surgery in either a phantom-based, simulation-based, animal model, or clinical setting were eligible for inclusion. Quality assessment was done using the Medical education research study quality instrument and educational New Ottawa Scale.

Results

Of 15,610 studies identified, 89 studies continued to full-text reading, and 37 studies were included. Four studies were found non-comparable and were left out of the results for the primary outcome. All 33 studies explored transfer from laparoscopy to robot-assisted surgery and 17 found a positive transfer whereas 15 did not. Only 11 studies explored transfer from robot-assisted surgery to laparoscopy, of which only three found a positive transfer.

Conclusion

An almost equal number of publications found a positive transfer and no transfer from laparoscopic to robot-assisted surgery. Fewer studies explored the transfer from robot-assisted surgery to laparoscopy. Very little evidence supports that surgeons trained solely in robot-assisted surgery can perform laparoscopy. This must be considered in future training programs as robot-assisted surgery is expected to become the first-in-line modality for many future surgeons.

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Title: Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review
Authors: Pia Iben Pietersen
Peter Hertz
Rikke Groth Olsen
Louise Birch Møller
Lars Konge
Flemming Bjerrum
Publication date: 24-10-2023
Publisher: Springer US
Keyword: Laparoscopy
Published in: Surgical Endoscopy / Issue 12/2023
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-023-10472-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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