ROBOTIX

FUNDAMENTALS OF ROBOTIC SURGERY (FRS):

Introduction

The module is based on the FRS skills curriculum developed by multiple surgical societies and organizations who agreed upon the critical skills, tasks, and errors that needed to be included in a comprehensive basic curriculum.

All the tasks will be completed as part of this curriculum and can be performed either on simulators or physical models with the real robot. The module replicates a physical dome, with the advantages of a virtual reality representation: Standardized cases, enjoyable independent training, reduced set-up overhead and cost of materials, objective performance reports. Exercises include: Tower transfer; Knot tying; Railroad track; 4th arm cutting; Puzzle piece dissection and Vessel energy dissection. The psychomotor skills curriculum is designed to train and assess the proficiency of surgeons interested in performing robotic surgery. The curriculum will ensure that only the surgeons who are skilled and well trained in the basic skills of robotic surgery can perform such complex procedures, making the patient the ultimate benefactor.

Objectives:

  • Show effective navigation of the camera and use the camera clutch.
  • Maneuver the instruments such that the potential of wristed instrumentation is utilized maximally for precise instrument tip positioning.
  • Demonstrate the skills necessary to successfully place a suture.
  • Demonstrate the skills necessary to successfully tie a square knot.
  • Precisely control the needle and suture using the robot.
  • Safely and effectively switch back and forth between the second and the fourth arm of the robot.
  • Safely and precisely perform fine dissection without damaging the surrounding or the underlying structures.
  • Identify and choose the correct energy pedal.
  • Apply energy to precisely and safely seal and divide vessels.
Specialties:
The basic curriculum for robotic surgery was created in a collaborative effort by multiple surgical specialties that use robotic systems for surgery.
  • General Surgery
  • Gynecology
  • Urology
  • Colon and Rectal Surgery
  • Otolaryngology
  • Thoracic and cardiothoracic Surgery
  • Gastrointestinal and Endoscopic Surgery
  • Orthopedic Surgery
  • Nurse practitioners and residents in Surgical Specialties
Target Audience
The psychomotor skills curriculum is designed to train and assess the proficiency of surgeons interested in performing robotic surgery. The curriculum will ensure that only the surgeons who are proficient and well trained in the basic skills of robotic surgery can perform such complex procedures, making the patient the ultimate benefactor.

Assumptions
No previous procedural or technical knowledge is required.

Suggested Time Length
Suitable for training in 4 hour hands-on training per day. Course Fee: Rs.5,000/-

Tasks:
Task 1: Ring Tower Transfer
Task 2: Knot Tying
Task 3: Railraod Track
Task 4: 4rth Arm Cutting
Task 5: Puzzle piece Dissection
Task 6: Vessle Energy Dissection

ROBOTIC ESSENTIAL SKILLS:
Introduction
This module enables the trainee to acquire basic-level skills required to build confidence and ease in robotic surgery techniques. Exercises in a nonanatomic setting provide a relaxed environment outside of the operating room for both individuals and teams, aimed at improving basic eye-hand coordination, bimanual manipulation, wrist articulation, camera, clutching, depth perception, and atraumatic handling. Exercises include - Peg Transfer, Roller Coaster and Tower Transfer are based on physical box trainer tasks: The peg transfer task within the Fundamentals of Laparoscopic Surgery Program (FLS) developed by SAGES, and the Roller Coaster and Tower Transfer tasks within the Robotic Training Network (RTN). Optimal team training is made possible by connecting the LAP Mentor Express to the RobotiX Mentor. This allows the surgical assistant to practice the skills together with the robotic surgeon in the same training environment aimed at improving communication skills and interaction within the team.
Objectives:
  • To practice and demonstrate proficiency in: basic eye-hand coordination, bimanual manipulation and depth perception.
  • To show effective navigation of the camera and use the camera clutch.
  • To maneuver the instruments so that the potential of wristed instrumentation is utilized maximally for precise instrument tip positioning.
  • To demonstrate awareness of applied instrument force.
  • In case of team training – to allow the laparoscopic assistant practice in the basic laparoscopic skills relevant for working together with the robotic surgeon: transfers and handoffs, object manipulation, depth perception, removal of objects from the operative field and retraction.
  • In case of team training – to promote communication between the robotic surgeon and the surgical assistant.
Specialties:
  • General surgery
  • Gynecology
  • Urology
  • Colon and Rectal surgery
  • Otolaryngology
  • Thoracic and Cardiothoracic surgery
  • Gastrointestinal and Endoscopic surgery
  • Orthopedic surgery
  • Nurse practitioners and residents in surgical specialties
Suggested Time Length
Suitable for training in 4 hour hands-on training per day. Course Fee: Rs.5,000/-

Tasks:
Task 1: Peg Transfer (Level 1)
Task 2: Tower Transfer (Level 1)
Task 3: Roller Coaster (Level 1)
Task 4: Peg Transfer (Level 2)
Task 5: Tower Transfer (Level 2)
Task 6: Roller Coaster (Level 2)

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