Match!

Robotic Pancreatoduodenectomy Biotissue Curriculum has Validity and Improves Technical Performance for Surgical Oncology Fellows

Published on Nov 1, 2017in Journal of Surgical Education2.21
· DOI :10.1016/j.jsurg.2017.05.016
Vernissia Tam5
Estimated H-index: 5
(University of Pittsburgh),
Mazen S. Zenati27
Estimated H-index: 27
(University of Pittsburgh)
+ 4 AuthorsMelissa E. Hogg15
Estimated H-index: 15
(University of Pittsburgh)
Cite
Abstract
Objective Obtaining the proficiency on the robotic platform necessary to safely perform a robotic pancreatoduodenectomy is particularly challenging. We hypothesize that by instituting a proficiency-based robotic training curriculum we can enhance novice surgeons’ skills outside of the operating room, leading to a shorter learning curve. Design A biotissue curriculum was designed consisting of sewing artificial organs to simulate a hepaticojejunostomy (HJ), gastrojejunostomy (GJ), and pancreaticojejunostomy (PJ). Three master robotic surgeons performed each biotissue anastomosis to assess validity. Using video review, trainee performance on biotissue drills was evaluated for time, errors and objective structured assessment of technical skills (OSATS) by 2 blinded graders. Setting This study is conducted at the University of Pittsburgh Medical Center (Pittsburgh, PA), a tertiary care academic teaching hospital. Participants In total, 14 surgical oncology fellows completed the biotissue curriculum. Results Fourteen fellows performed 196 anastomotic drills during the first year: 66 (HJ), 64 (GJ), and 66 (PJ). The fellows’ performances were analyzed as a group by attempt. The attendings’ first attempt outperformed the fellows’ first attempt in all metrics for every drill (all p Conclusion A pancreatoduodenectomy biotissue curriculum has face and construct validity. The curriculum is feasible and improves errors and technical performance. Time is the most difficult technical parameter to improve. This curriculum is a valid tool for teaching robotic pancreatoduodenectomies with established milestones for reaching optimum performance.
  • References (41)
  • Citations (10)
Cite
References41
Newest
#1Vernissia Tam (University of Pittsburgh)H-Index: 5
#2Herbert J. Zeh (University of Pittsburgh)H-Index: 60
Last.Melissa E. Hogg (University of Pittsburgh)H-Index: 15
view all 3 authors...
#1Melissa E. Hogg (University of Pittsburgh)H-Index: 15
#2Vernissia Tam (University of Pittsburgh)H-Index: 5
Last.Herbert J. Zeh (University of Pittsburgh)H-Index: 60
view all 7 authors...
#1Faure Jp (University of Poitiers)H-Index: 26
#2C. Brèque (University of Poitiers)H-Index: 8
Last.J.-P. Richer (University of Poitiers)H-Index: 12
view all 6 authors...
#1Joshua S. Winder (Penn State Milton S. Hershey Medical Center)H-Index: 8
#2Ryan M. Juza (Penn State Milton S. Hershey Medical Center)H-Index: 6
Last.Jerome Lyn-Sue (Penn State Milton S. Hershey Medical Center)H-Index: 6
view all 8 authors...
#1David Pinzon (U of A: University of Alberta)H-Index: 1
#2Simon Byrns (U of A: University of Alberta)H-Index: 3
Last.Bin Zheng (U of A: University of Alberta)H-Index: 18
view all 3 authors...
#1Brian A. Boone (University of Pittsburgh)H-Index: 14
#2Mazen S. Zenati (University of Pittsburgh)H-Index: 27
Last.Amer H. Zureikat (University of Pittsburgh)H-Index: 28
view all 8 authors...
#1Behzad S. Farivar (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 1
#2Molly Flannagan (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 1
Last.I. Michael Leitman (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 8
view all 3 authors...
Cited By10
Newest
#1MaryJoe K. Rice (UMB: University of Maryland, Baltimore)
#2Mazen S. Zenati (University of Pittsburgh)H-Index: 27
Last.Melissa E. Hogg (NorthShore University HealthSystem)H-Index: 1
view all 8 authors...
#1Amr I. Al Abbas (University of Pittsburgh)H-Index: 1
#2Jae P. Jung (University of Pittsburgh)
Last.Melissa E. Hogg (NorthShore University HealthSystem)H-Index: 1
view all 7 authors...
#1Vernissia Tam (University of Pittsburgh)H-Index: 5
#2Jeffrey Borrebach (University of Pittsburgh)H-Index: 3
Last.Melissa E. Hogg (University of Pittsburgh)H-Index: 15
view all 6 authors...
#1Deepa Magge (University of Pittsburgh)H-Index: 8
#2Mazen S. Zenati (University of Pittsburgh)H-Index: 27
Last.Melissa E. Hogg (University of Pittsburgh)H-Index: 15
view all 7 authors...
#1L. Mark Knab (University of Pittsburgh)H-Index: 1
#2Mazen S. Zenati (University of Pittsburgh)H-Index: 27
Last.Melissa E. Hogg (University of Pittsburgh)H-Index: 15
view all 9 authors...
View next paperPilot Validation Study of the European Association of Urology Robotic Training Curriculum