MP37-05 THE DA VINCI ROBOT TRAINING DILEMMA: EVALUATING THE RAVEN ROBOT AS A SOLUTION

You have accessJournal of UrologyTechnology & Instruments: Robotics - Benign & Malignant Disease1 Apr 2014MP37-05 THE DA VINCI ROBOT TRAINING DILEMMA: EVALUATING THE RAVEN ROBOT AS A SOLUTION Deanna Glassman, Lee White, Andrew Lewis, Hawkeye King, Alicia Clarke, Thomas Glassman, Bryan Comstock, Blake Hannaford, Tim Brand, and Thomas S. Lendvay Deanna GlassmanDeanna Glassman More articles by this author , Lee WhiteLee White More articles by this author , Andrew LewisAndrew Lewis More articles by this author , Hawkeye KingHawkeye King More articles by this author , Alicia ClarkeAlicia Clarke More articles by this author , Thomas GlassmanThomas Glassman More articles by this author , Bryan ComstockBryan Comstock More articles by this author , Blake HannafordBlake Hannaford More articles by this author , Tim BrandTim Brand More articles by this author , and Thomas S. LendvayThomas S. Lendvay More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1242AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic assisted surgery is being rapidly adopted as evidenced by a 25% growth rate in the number of robotic procedures performed in the last four years. This progression is challenging the ability of surgeons to receive adequate training on robotic systems and keep up with the demand. The limited availability of the da Vinci robot for training has increased the need for new training tools. The Raven robot, a more compact system that is almost 1/10th the cost of a da Vinci robot, may provide a solution to the training demand. The purpose of this study was to determine whether training on the Raven robot would be non-inferior to training on the da Vinci robot for the Fundamentals of Laparoscopic Surgery (FLS) block transfer task. METHODS A total of 30 medical students were enrolled and were randomly assigned to Raven training (RT) or da Vinci training (DT). Both groups practiced to proficiency on their assigned robot for the FLS block transfer and subsequently completed a criterion test on the da Vinci robot during a separate session. RESULTS Upon completion of robotic FLS block transfer proficiency training, there were no statistically significant differences between path length (p=0.39) or economy of motion (EOM) (p=0.06) between the two groups. The RT group had an average path length of 355 ± 44 in and the DT group averaged 339 ± 49 in (p = 0.39, 95% CI -1.56 to 33.31. The average EOM for the RT and DT groups was 3.74 in/s ± 0.99 and 4.43 in/s ± 0.83, respectively (p = 0.06, 95% CI -1.04 to -0.33). Video review of the criterion tasks were performed by a panel of experienced robotic surgeons to provide a composite performance score using a validated structured technical skills assessment tool for robotics, the Global Evaluative Assessment of Robotic Skills (GEARS), and it was observed that scores were not statistically different between the two groups (p=0.87, 95% CI 19.4 to 20.8). Out of the five GEARS domains assessed, only efficiency ratings were higher in the DT group than the RT group (p=0.04). This was expected given that this domain incorporates speed as a marker and the DT group had faster task times. When asked about the value that Raven training had on their ability to perform on the da Vinci robot, RT subjects cited strong scores, an average of 4.8 out of 5.0. CONCLUSIONS This prospective randomized trial provided evidence for the value of using the Raven robot for training prior to using the da Vinci system for similar tasks. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e393 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Deanna Glassman More articles by this author Lee White More articles by this author Andrew Lewis More articles by this author Hawkeye King More articles by this author Alicia Clarke More articles by this author Thomas Glassman More articles by this author Bryan Comstock More articles by this author Blake Hannaford More articles by this author Tim Brand More articles by this author Thomas S. Lendvay More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...