Education, Simulation & Virtual Reality

Moderated Poster Session

MP19-22 - Transferability of traditional laparoscopic skills to robotic-assisted laparoscopic skills – a pilot study in setting up a standardized robotic training and assessment for urology residents in Singapore.

Saturday, September 22
2:00 PM - 4:00 PM
Location: Room 241

Introduction & Objective :

Robotic surgical platform (Da Vinci Surgical System) is commonly used in urologic surgeries. However, unlike traditional laparoscopic skills, in which there are well established training program and assessment such as E-BLUS and Fundamentals of Laparoscopic Surgery (FLS), there is no such program for robotic training. In this study, we aim to assess the transferability of traditional laparoscopic skills to robotic-assisted laparoscopic skills amongst urology residents. We aim to gain insight in setting up a standardized robotic training and assessment for urology residents. 


Methods :

We recruited urology residents and experts in minimally-invasive surgeries. All participants were required to complete Da Vinci Si online training module and all residents underwent basic hands-on training in the Da Vinci Si system. Thirteen subjects agreed to take part in this study. They were asked to perform three FLS tasks: peg transfer, pattern cutting and intracorporeal suturing on both laparoscopic surgery platform (LFP) and robotic surgery platform (RSP). Residents were randomized to start with either LFP first or RSP first. Mean completion times were calculated for each task on both platforms. Statistical analysis was performed with unpaired student’s t-test, and p<0.05 was considered statistically significant. 


Results :

Using the robotic surgery platform, residents in the LFP first group (n=6) completed the three tasks faster than their counterparts in the RSP first group (n=5). Mean time to complete the tasks in the robotic surgery platform between LFP first group versus RSP first group were: 94.0s versus 132.3s, p=0.0067 (for peg transfer), 142.0s versus 177.2s, p=0.15 (for pattern cutting), and 117.2s versus 157.7s, p=0.003 (for intracorporeal suturing). Residents in both the LFP first group and the RSP first group performed intracorporeal suturing better in the robotic surgery platform than the traditional laparoscopic surgery platform (p=0.0027 and p=0.0026 respectively). The minimally-invasive experts (n=2) performed the three tasks faster with the robotic surgery platform compared to the traditional laparoscopic platform.


Conclusions :

Amongst urology residents, experience and skills acquired in the traditional laparoscopic surgery platform confer benefits for performing similar tasks in robotic surgery platform. The use of robotic surgery platform gives significant advantage in performing complex task such as intracorporeal suturing. From this study, we proposed that urology residents should have sufficient exposure and training in traditional laparoscopic surgeries prior to embarking on robotic-assisted laparoscopic surgeries. 

Arianto Yuwono

Senior Resident
Department of Urology, Tan Tock Seng Hospital (Singapore)

Arianto Yuwono BSc(Hons), MBChB, MRCSEd
Urology Senior Resident,
Department of Urology,
Tan Tock Seng Hospital (Singapore).

Presentation(s):

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    Yu-Yi Yeow

    Associate Consultant
    Department of Urology, Tan Tock Seng Hospital (Singapore)

    Presentation(s):

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      Keng Siang Png

      Senior Consultant
      Department of Urology, Tan Tock Seng Hospital (Singapore)

      Presentation(s):

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        MP19-22 - Transferability of traditional laparoscopic skills to robotic-assisted laparoscopic skills – a pilot study in setting up a standardized robotic training and assessment for urology residents in Singapore.



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