Examining the learning curves in robotic cardiac surgery wet lab simulation training

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F25%3A10489824" target="_blank" >RIV/00064203:_____/25:10489824 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11130/25:10489824

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=7DVv5teRKj" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=7DVv5teRKj</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/icvts/ivae227" target="_blank" >10.1093/icvts/ivae227</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Examining the learning curves in robotic cardiac surgery wet lab simulation training

Popis výsledku v původním jazyce

BACKGROUND: Simulation-based training has gained distinction in cardiothoracic surgery, as robotic-assisted cardiac procedures evolve. Despite the increasing use of wet lab simulators, the effectiveness of these training methods and skill acquisition rates remain poorly understood. OBJECTIVE: This study aimed to compare learning curves and assess the robotic cardiac surgical skill acquisition rate for cardiac and noncardiac surgeons who had no robotic experience in a wet lab simulation setting. METHODS: In this prospective cohort study, participants practiced three robotic tasks in a porcine model: left atriotomy closure, internal thoracic artery (ITA) harvesting, and mitral annular suturing. Participants were novice robotic cardiac and noncardiac surgeons alongside experienced robotic cardiac surgeons who established performance benchmarks. Performance was evaluated using the time-based score (TBS) and modified global evaluative assessment of robotic skills (mGEARS). RESULTS: The participants were 15 novice surgeons (7 cardiac; 8 noncardiac) and four experienced robotic surgeons.Most novices reached mastery in 52 (+-22) min for atrial closure, 32 (+-18) for ITA harvesting, and 34 (+-12) for mitral stitches, with no significant differences between the cardiac and noncardiac surgeons. However, for mGEARS, noncardiac novices faced more challenges in ITA harvesting. The Thurstone learning curve model indicated no significant difference in the learning rates between the groups. CONCLUSION: Wet lab simulation facilitates the rapid acquisition of robotic cardiac surgical skills to expert levels, irrespective of surgeons&apos; experience in open cardiac surgery. These findings support the use of wet lab simulators for standardized, competency-based training in robotic cardiac surgery.

Název v anglickém jazyce

Examining the learning curves in robotic cardiac surgery wet lab simulation training

Popis výsledku anglicky

BACKGROUND: Simulation-based training has gained distinction in cardiothoracic surgery, as robotic-assisted cardiac procedures evolve. Despite the increasing use of wet lab simulators, the effectiveness of these training methods and skill acquisition rates remain poorly understood. OBJECTIVE: This study aimed to compare learning curves and assess the robotic cardiac surgical skill acquisition rate for cardiac and noncardiac surgeons who had no robotic experience in a wet lab simulation setting. METHODS: In this prospective cohort study, participants practiced three robotic tasks in a porcine model: left atriotomy closure, internal thoracic artery (ITA) harvesting, and mitral annular suturing. Participants were novice robotic cardiac and noncardiac surgeons alongside experienced robotic cardiac surgeons who established performance benchmarks. Performance was evaluated using the time-based score (TBS) and modified global evaluative assessment of robotic skills (mGEARS). RESULTS: The participants were 15 novice surgeons (7 cardiac; 8 noncardiac) and four experienced robotic surgeons.Most novices reached mastery in 52 (+-22) min for atrial closure, 32 (+-18) for ITA harvesting, and 34 (+-12) for mitral stitches, with no significant differences between the cardiac and noncardiac surgeons. However, for mGEARS, noncardiac novices faced more challenges in ITA harvesting. The Thurstone learning curve model indicated no significant difference in the learning rates between the groups. CONCLUSION: Wet lab simulation facilitates the rapid acquisition of robotic cardiac surgical skills to expert levels, irrespective of surgeons&apos; experience in open cardiac surgery. These findings support the use of wet lab simulators for standardized, competency-based training in robotic cardiac surgery.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Interdisciplinary Cardiovascular and Thoracic Surgery

ISSN

2753-670X

e-ISSN

2753-670X

Svazek periodika

40

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

9

Strana od-do

ivae227

Kód UT WoS článku

001393512000001

EID výsledku v databázi Scopus

2-s2.0-85215567351