Detailed Abstract
[E-poster]
[E28] Educational effect of robotic Duct-to-mucosa pancreaticojejunostomy simulation using pancreas silicone models for training surgical fellows
Yoonhyeong BYUN1, Youngmin HAN2, Wooil KWON2, Meerang LEE2, Hyesol JUNG2, YooJin CHOI3, Jeaseung KANG4, Jin-Young JANG*2
1 Surgery, Uijeongbu Eulji Medical Center, Republic of Korea
2 Surgery And Cancer Research Institute, Seoul National University Hospital, Republic of Korea
3 Surgery, Korea University Anam Hospital, Republic of Korea
4 Surgery, Korea University Guro Hospital, Republic of Korea
Background : With the increase in minimal invasive surgery, pancreatectomy is also being performed a lot with robotic platforms. Pancreaticojejunostomy (PJ) anastomosis is one of the difficult anastomosis methods and therefore requires a training program. This study evaluated the effect of simulation-based training of robotic duct-to-mucosa PJ using the pancreas and intestine silicone models with the scoring system
Methods : Five pancreatobiliary clinical fellows, who completed basic robot training course and open PJ course with silicon model but never performed real robotic PJ, were participated. The master video was created by a senior surgeon who has performed over 1,000 pancreatoduodenectomies. Each trainee who was well acquainted with this video carried out the PJ procedures nine times and three pancreatobiliary surgeons assessed the videos and analyzed the scores.
Results : The mean robotic PJ time of 5 trainees was 38.7 minutes in the first video and 32.8 minutes in the ninth video. The mean score was 11.8 (range, 5-19) at the first video, and 17.5 (range, 15-20) at the ninth video. The PJ time showed a decreasing trend, and the test score showed an increasing trend. The scores were similar among duplicated videos in each supervisor.
Conclusions : This robotic education system would help the pancreatobiliary trainees to overcome the learning curves efficiently and quickly without ethical issues related with the animal models or direct practice to human subject
Methods : Five pancreatobiliary clinical fellows, who completed basic robot training course and open PJ course with silicon model but never performed real robotic PJ, were participated. The master video was created by a senior surgeon who has performed over 1,000 pancreatoduodenectomies. Each trainee who was well acquainted with this video carried out the PJ procedures nine times and three pancreatobiliary surgeons assessed the videos and analyzed the scores.
Results : The mean robotic PJ time of 5 trainees was 38.7 minutes in the first video and 32.8 minutes in the ninth video. The mean score was 11.8 (range, 5-19) at the first video, and 17.5 (range, 15-20) at the ninth video. The PJ time showed a decreasing trend, and the test score showed an increasing trend. The scores were similar among duplicated videos in each supervisor.
Conclusions : This robotic education system would help the pancreatobiliary trainees to overcome the learning curves efficiently and quickly without ethical issues related with the animal models or direct practice to human subject
SESSION
E-poster
E-Session 09/16 ALL DAY