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Ballesta Martinez B, Kallidonis P, Tsaturyan A, Peteinaris A, Faitatziadis S, Gkeka K, Tatanis V, Vagionis A, Pagonis K, Obaidat M, Anaplioti E, Haney C, Vrettos T, Liatsikos E. Transfer of acquired practical skills from dry lab into live surgery using the avatera robotic system: An experimental study. Actas Urol Esp 2023; 47:611-617. [PMID: 37574013 DOI: 10.1016/j.acuroe.2023.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 06/14/2023] [Accepted: 06/15/2023] [Indexed: 08/15/2023]
Abstract
OBJECTIVE To evaluate the transfer of the practical skills of robot-assisted surgery acquired in the dry-lab into a real live experimental setting for performing upper and lower urinary tract surgeries. MATERIAL AND METHODS An in vivo experimental study design was utilized. Six urology trainees and fellows; two 2nd year trainees with no previous exposure to laparoscopic surgery (Group 1), two 4th year residents with medium exposure to laparoscopic surgery (Group 2) and two fellows trained to perform laparoscopic surgeries (Group 3) performed ureteral reimplantation into the bladder, pyeloplasty, and radical nephrectomy on three female pigs under general anesthesia. Prior to performing the requested procedures, each participant completed 10-14 h dry-lab robotic training acquiring skills in basic surgical tasks, such as suturing, cutting and needle passage. The recorded variables were the successful completion of the procedures, the console time, and the time to perform different steps and major complications. RESULTS All procedures were completed successfully by all groups except the pyeloplasty by group 1 which was complicated by bleeding from the renal vein, and the procedure was abandoned. Group 3 achieved shorter console time for all successfully completed procedures and for separate surgical steps compared to all groups, followed by Group 2. The slowest group for all procedures and steps analyzed was Group 3. CONCLUSIONS Although further clinical evidence is needed, the robotic-assisted urological procedures and the most challenging steps could be performed safely and effectively after proper training in the dry lab under mentor supervision according to our study.
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Affiliation(s)
- B Ballesta Martinez
- Department of Urology, University of Patras, Patras, Greece; Department of Urology, Hospital Vinalopó, Elche, Spain
| | - P Kallidonis
- Department of Urology, University of Patras, Patras, Greece
| | - A Tsaturyan
- Department of Urology, University of Patras, Patras, Greece
| | - A Peteinaris
- Department of Urology, University of Patras, Patras, Greece
| | - S Faitatziadis
- Department of Urology, University of Patras, Patras, Greece
| | - K Gkeka
- Department of Urology, University of Patras, Patras, Greece
| | - V Tatanis
- Department of Urology, University of Patras, Patras, Greece
| | - A Vagionis
- Department of Urology, University of Patras, Patras, Greece
| | - K Pagonis
- Department of Urology, University of Patras, Patras, Greece
| | - M Obaidat
- Department of Urology, University of Patras, Patras, Greece
| | - E Anaplioti
- Department of Urology, University of Patras, Patras, Greece
| | - C Haney
- Department of Urology, University Hospital of Leipzig, Leipzig, Germany
| | - T Vrettos
- Department of Anesthesiology and ICU, University of Patras, Patras, Greece
| | - E Liatsikos
- Department of Urology, University of Patras, Patras, Greece; Department of Urology, Medical University of Vienna, Vienna, Austria.
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Faitatziadis S, Tsaturyan A, Peteinaris A, Haney C, Gkeka K, Tatanis V, Vagionis A, Obaidat M, Pagonis K, Anaplioti E, Natsos A, Vrettos T, Kallidonis P, Stolzenburg J, Liatsikos E. Feasibility study of novel avatera system for transperitoneal partial nephrectomy: An in vivo experimental animal study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01065-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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