Robot-assisted radical prostatectomy training: Description of a canine cadaveric model.
canine model
robot-assisted radical prostatectomy
robotic surgery
surgical simulation
training model
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
revised:
15
01
2022
received:
27
09
2021
accepted:
01
02
2022
pubmed:
4
2
2022
medline:
27
4
2022
entrez:
3
2
2022
Statut:
ppublish
Résumé
Assess the relevance of a canine model in robot-assisted radical prostatectomy (RARP) training. Step-by-step RARP was performed in five dog cadavers using a Da Vinci Si® Surgical Robot (Intuitive Surgical, Inc.). The steps were defined according to the RARP score, a validated training tool describing 17 key steps and four levels of difficulty; each step was scored to reflect the anatomical and technical similarities, realism of dissection, and face validity of the canine model compared to the human procedure. Fourteen steps were performed during each procedure. Face validity was scored as high or very high for five of the nine steps of difficulty levels 1 and 2 as well as five of the eight steps of difficulty levels 3 and 4, especially nerve preservation, vesicourethral anastomosis and lymph node dissection. The cadaveric canine model seems to be a realistic and relevant training model for key steps of RARP.
Sections du résumé
BACKGROUND
BACKGROUND
Assess the relevance of a canine model in robot-assisted radical prostatectomy (RARP) training.
METHODS
METHODS
Step-by-step RARP was performed in five dog cadavers using a Da Vinci Si® Surgical Robot (Intuitive Surgical, Inc.). The steps were defined according to the RARP score, a validated training tool describing 17 key steps and four levels of difficulty; each step was scored to reflect the anatomical and technical similarities, realism of dissection, and face validity of the canine model compared to the human procedure.
RESULTS
RESULTS
Fourteen steps were performed during each procedure. Face validity was scored as high or very high for five of the nine steps of difficulty levels 1 and 2 as well as five of the eight steps of difficulty levels 3 and 4, especially nerve preservation, vesicourethral anastomosis and lymph node dissection.
CONCLUSIONS
CONCLUSIONS
The cadaveric canine model seems to be a realistic and relevant training model for key steps of RARP.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2381Subventions
Organisme : Nancy School of Surgery
Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
EAU. Guidelines: Prostate Cancer. Uroweb. 2021. Accessed July 20, 2021. https://uroweb.org/guideline/prostate-cancer/
Su LM. Robot-assisted radical prostatectomy: advances since 2005. Curr Opin Urol. 2010;20(2):130-135. https://doi.org/10.1097/MOU.0b013e328336257a
Patel VR, Tully AS, Holmes R, Lindsay J. Robotic radical prostatectomy in the community setting-the learning curve and beyond: initial 200 cases. J Urol. 2005;174(1):269-272. https://doi.org/10.1097/01.ju.0000162082.12962.40
Schiavina R, Borghesi M, Dababneh H, et al. The impact of a structured intensive modular training in the learning curve of robot assisted radical prostatectomy. Arch Ital Urol Androl. 2018;90(1):1-7. https://doi.org/10.4081/aiua.2018.1.1
Satava RM, Stefanidis D, Levy JS, et al. Proving the effectiveness of the fundamentals of robotic surgery (FRS) skills curriculum: a single-blinded, multispecialty, multi-institutional randomized control trial. Ann Surg. 2020;272(2):384-392. https://doi.org/10.1097/SLA.0000000000003220
Brook NR, Dell’Oglio P, Barod R, Collins J, Mottrie A. Comprehensive training in robotic surgery. Curr Opin Urol. 2019;29(1):1-9. https://doi.org/10.1097/MOU.0000000000000566
Lovegrove C, Ahmed K, Novara G, et al. Modular training for robot-assisted radical prostatectomy: where to begin? J Surg Educ. 2017;74(3):486-494. https://doi.org/10.1016/j.jsurg.2016.11.002
Fisher RA, Dasgupta P, Mottrie A, et al. An over-view of robot assisted surgery curricula and the status of their validation. Int J Surg. 2015;13:115-123. https://doi.org/10.1016/j.ijsu.2014.11.033
Moglia A, Ferrari V, Morelli L, Ferrari M, Mosca F, Cuschieri A. A systematic review of virtual reality simulators for robot-assisted surgery. Eur Urol. 2016;69(6):1065-1080. https://doi.org/10.1016/j.eururo.2015.09.021
Khan R, Aydin A, Khan MS, Dasgupta P, Ahmed K. Simulation-based training for prostate surgery. BJU Int. 2015;116(4):665-674. https://doi.org/10.1111/bju.12721
Alemozaffar M, Narayanan R, Percy AA, et al. Validation of a novel, tissue-based simulator for robot-assisted radical prostatectomy. J Endourol. 2014;28(8):995-1000. https://doi.org/10.1089/end.2014.0041
Cacciamani G, De Marco V, Siracusano S, et al. A new training model for robot-assisted urethrovesical anastomosis and posterior muscle-fascial reconstruction: the Verona training technique. J Robot Surg. 2017;11(2):123-128. https://doi.org/10.1007/s11701-016-0626-4
Boon JR, Salas N, Avila D, Boone TB, Lipshultz LI, Link RE. Construct validity of the pig intestine model in the simulation of laparoscopic urethrovesical anastomosis: tools for objective evaluation. J Endourol. 2008;22(12):2713-2716. https://doi.org/10.1089/end.2008.0058
Price DT, Chari RS, Neighbors JD, Eubanks S, Schuessler WW, Preminger GM. Laparoscopic radical prostatectomy in the canine model. J Laparoendosc Surg. 1996;6(6):405-412. https://doi.org/10.1089/lps.1996.6.405
Grummet JP, Costello AJ, Swanson DA, Stephens LC, Cromeens DM. Laser welded vesicourethral anastomosis in an in vivo canine model: a pilot study. J Urol. 2002;168(1):281-284. https://doi.org/10.1097/00005392-200207000-00091
Grummet JP, Costello AJ, Swanson DA, Stephens LC, Cromeens DM. Vesicourethral anastomosis with 2-octyl cyanoacrylate adhesive in an in vivo canine model. Urology. 2002;60(5):935-938. https://doi.org/10.1016/S0090-4295(02)01887-3
Gianduzzo TRJ, Colombo JR, El-Gabry E, Haber G-P, Gill IS. Anatomical and electrophysiological assessment of the canine periprostatic neurovascular anatomy: perspectives as a nerve sparing radical prostatectomy model. J Urol. 2008;179(5):2025-2029. https://doi.org/10.1016/j.juro.2007.12.041
Ong AM, Su LM, Varkarakis I, et al. Nerve sparing radical prostatectomy: effects of hemostatic energy sources on the recovery of cavernous nerve function in a canine model. J Urol. 2004;172(4 Pt 1):1318-1322.
Lovegrove C, Novara G, Mottrie A, et al. Structured and modular training pathway for robot-assisted radical prostatectomy (RARP): validation of the RARP assessment score and learning curve assessment. Eur Urol. 2016;69(3):526-535. https://doi.org/10.1016/j.eururo.2015.10.048
Richer JP, Brèque C, Delpech PO, et al. Un modèle cadavérique humain revascularisé pulsatile et ventilé, adaptatif pour la simulation chirurgicale, testé en chirurgie coelioscopique bariatrique, en chirurgie cardio-thoracique et par l’EFPMO. e-Mèm Acad Natl Chir. 2016;15(1):58-64. https://doi.org/10.14607/emem.2016.1.058
Siddiqui NY, Galloway ML, Geller EJ, et al. Validity and reliability of the robotic objective structured assessment of technical skills. Obstet Gynecol. 2014;123(6):1193-1199. https://doi.org/10.1097/AOG.0000000000000288
Schlake A, Dell’Oglio P, Devriendt N, et al. First robot-assisted radical prostatectomy in a client-owned Bernese mountain dog with prostatic adenocarcinoma. Vet Surg. 2020;49(7):1458-1466. https://doi.org/10.1111/vsu.13448