About this Journal Submit a Manuscript Table of Contents
ISRN Obstetrics and Gynecology
Volume 2012 (2012), Article ID 569456, 4 pages
http://dx.doi.org/10.5402/2012/569456
Research Article

Effect of Residents’ Previous Laparoscopic Surgery Experience on Initial Robotic Suturing Experience

1Department of Obstetrics & Gynecology, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0587, USA
2Department of Obstetrics and Gynecology, Ege University School of Medicine, Bornova, 35100 Izmir, Turkey
3Department of of Obstetrics and Gynecology, The Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Received 16 April 2012; Accepted 3 July 2012

Academic Editors: P. K. Mallmann, K. Yang, and L. C. Zeferino

Copyright © 2012 Gokhan Sami Kilic et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To assess the impact of gynecology residents’ previous laparoscopic experience on the learning curve of robotic suturing techniques and the value of initial structured teaching in dry lab prior to surgery. Methods. Thirteen gynecology residents with no previous robotic surgery experience were divided into Group 1, consisting of residents with 2 or fewer laparoscopic experiences, and Group 2, consisting of residents with 3 or more laparoscopic experiences. Group 1 had a dry-laboratory training in suturing prior to their initial experience in the operating room. Results. For all residents, it took on average 3 8 2 Β± 1 5 9 seconds for laparoscopic suturing and 3 2 6 Β± 1 9 6 seconds for robotic suturing ( 𝑃 = 0 . 1 2 ). Residents in Group 1 had a lower mean suture time than residents in Group 2 for laparoscopic suturing ( 𝑃 = 0 . 0 0 9 ). The residents in Group 2, however, had a lower mean suture time on the robot compared to Group 1 ( 𝑃 = 0 . 5 ). Conclusion. Residents with previous laparoscopic suturing experience may gain more from a robotic surgery experience than those with limited laparoscopic surgery experience. In addition, dry lab training is more efficient than hands-on training in the initial phase of teaching for both laparoscopic and robotic suturing skills.