Objective evaluation of expert and novice performance during robotic surgical training tasks

Timothy N. Judkins, Dmitry Oleynikov, Nicholas Stergiou

Research output: Contribution to journalArticle

70 Citations (Scopus)

Abstract

Background: Robotic laparoscopic surgery has revolutionized minimally invasive surgery for the treatment of abdominal pathologies. However, current training techniques rely on subjective evaluation. The authors sought to identify objective measures of robotic surgical performance by comparing novices and experts during three training tasks. Methods: Five novices (medical students) were trained in three tasks with the da Vinci Surgical System. Five experts trained in advanced laparoscopy also performed the three tasks. Time to task completion (TTC), total distance traveled (D), speed (S), curvature (κ), and relative phase (Φ) were measured. Results: Before training, TTC, D, and κ were significantly smaller for experts than for novices (p < 0.05), whereas S was significantly larger for experts than for novices before training (p < 0.05). Novices performed significantly better after training, as shown by smaller TTC, D, and κ, and larger S. Novice performance after training approached expert performance. Conclusion: This study clearly demonstrated the ability of objective kinematic measures to distinguish between novice and expert performance and training effects in the performance of robotic surgical training tasks.

Original languageEnglish (US)
Pages (from-to)590-597
Number of pages8
JournalSurgical Endoscopy and Other Interventional Techniques
Volume23
Issue number3
DOIs
StatePublished - Mar 1 2009

Fingerprint

Robotics
Laparoscopy
Minimally Invasive Surgical Procedures
Medical Students
Biomechanical Phenomena
Teaching
Pathology
Therapeutics

Keywords

  • Performance
  • Robotic surgery
  • Skill assessment
  • Training

ASJC Scopus subject areas

  • Surgery

Cite this

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abstract = "Background: Robotic laparoscopic surgery has revolutionized minimally invasive surgery for the treatment of abdominal pathologies. However, current training techniques rely on subjective evaluation. The authors sought to identify objective measures of robotic surgical performance by comparing novices and experts during three training tasks. Methods: Five novices (medical students) were trained in three tasks with the da Vinci Surgical System. Five experts trained in advanced laparoscopy also performed the three tasks. Time to task completion (TTC), total distance traveled (D), speed (S), curvature (κ), and relative phase (Φ) were measured. Results: Before training, TTC, D, and κ were significantly smaller for experts than for novices (p < 0.05), whereas S was significantly larger for experts than for novices before training (p < 0.05). Novices performed significantly better after training, as shown by smaller TTC, D, and κ, and larger S. Novice performance after training approached expert performance. Conclusion: This study clearly demonstrated the ability of objective kinematic measures to distinguish between novice and expert performance and training effects in the performance of robotic surgical training tasks.",
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