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Sighinolfi MC, Terzoni S, Scanferla E, Bianchi PP, Formisano G, Gaia G, Marconi AM, Chiumello D, Patel V, Moschovas MC, Turri F, Dell'Orto P, Maruccia S, Grasso A, Sangalli M, Centanni S, Stocco M, Assumma S, Sarchi L, Calcagnile T, Panio E, Bozzini G, Rocco B. Impact of hands-on practice with HugoRAS and Versius System simulators on the attractiveness of robotic surgery among medical and nurse undergraduate students. J Robot Surg 2023:10.1007/s11701-023-01543-9. [PMID: 36780055 DOI: 10.1007/s11701-023-01543-9] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 02/04/2023] [Indexed: 02/14/2023]
Abstract
The scenario of robotic surgery is rapidly evolving with the introduction of new robotic systems. A structured learning program in robotic surgery during academic education is often lacking, especially for undergraduates; as a result, many students may be unaware of indications to robotic surgery and technological progress. The aim of the study is to evaluate the knowledge and interest toward robotic surgery of medical and nurse students, and to analyze how the attractiveness may change after a hand-on training course with new simulators of Hugo RAS and Versius System. We performed a cross-sectional study involving medical and nurse students recruited on a voluntary basis at ASST Santi Paolo and Carlo, Milan; participants were invited to join a hands-on practice simulation with the Hugo RAS and/or Versius Trainer Simulator. Before the hand-on exercise, students were asked to fulfill an online anonymous questionnaire addressing knowledge and interest toward robotic surgery. After a 2-h hands-on exercises at the Hugo RAS and/or at the Versius Trainer simulator (preceded by a brief lecture on robotic surgery and new systems), participants were asked to complete a second-round questionnaire to evaluate changes in attractiveness toward robotic surgery. Data were recorded in a database; after a descriptive analysis of the variables, median values were compared with the Mann-Whitney U test, frequencies with the Fisher's exact test and in the case of paired observations (before and after the simulation), the Mc Nemar test was used. Forty-one undergraduates agreed to participate. Twenty-three nursing students and 18 medical students were recruited. Some of them had a basic knowledge in robotic surgery and were able to figure out some surgical indications, given the presence of a robotic program already settled up at the institution. Before the hands-on course, 44.0% nurse students and 36.6% of medical students were interested in surgical disciplines and robotic surgery. After the simulation, all students (100%) reported a high level of interest in robotic surgery and some of them required for a dedicated internship (p < 0.001). The students provided also feedback on the perceived ease-of-use of the robotic simulators (on a scale 0-10); overall, the median score was 8, IQR [7-8], with no differences between nursing and medical students (p = 0.482). In conclusion, the study demonstrates a great interest toward robotic surgery as a part of medical and nurse education. A hands-on simulation further improved the interest of undergraduates from both backgrounds. The technological progress with the availability of new surgical systems will be the future challenge of training programs and should be considered at all levels of education.
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Affiliation(s)
- Maria Chiara Sighinolfi
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy.
| | - Stefano Terzoni
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Elena Scanferla
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | | | | | - Giorgia Gaia
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | - Davide Chiumello
- Unit of Anesthesiology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Vipul Patel
- Adventhealth, University of Central Florida, Orlando, FL, USA
| | | | - Filippo Turri
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Paolo Dell'Orto
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Serena Maruccia
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Angelica Grasso
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Mattia Sangalli
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Stefano Centanni
- Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Matteo Stocco
- Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Simone Assumma
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Luca Sarchi
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Tommaso Calcagnile
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | - Enrico Panio
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
| | | | - Bernardo Rocco
- From the Unit of Urology, Department of Health Science-La Statale University of Milan, ASST Santi Paolo and Carlo, Via Rudini 8, Milan, Italy
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