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<p>Robotic surgery has revolutionized modern surgical practices, expanding across multiple specialties due to its precision, reduced invasiveness, and improved patient outcomes. Initially dominated by the da Vinci system, the field has recently seen an influx of new robotic platforms, presenting challenges in training and adaptation for surgeons and surgical teams. The transition to diverse robotic systems necessitates a structured educational framework to ensure competency across varying platforms. This article explores the evolving landscape of robotic surgery, emphasizing the need for a comprehensive training methodology. A qualitative analysis of expert and novice perspectives identified three key domains for robotic surgery education: (1) Foundational Competence, which includes platform-specific training, ergonomics, teamwork, and emergency protocols; (2) Surgical Competence, focusing on systematic procedural training and stepwise surgical execution; and (3) Task-Based Micro-Competence, addressing fundamental skills like hemostasis, lymph node dissection, vascular control, bowel mobilization, and robotic suturing. The framework highlights the importance of platform-specific technical skills, team dynamics, and cognitive ergonomics to enhance surgical efficiency and patient safety. Additionally, it underscores the necessity for standardized training methodologies adaptable to diverse robotic systems. The study advocates for incorporating simulation-based learning, modular training, and emergency drills into robotic surgery education to bridge the gap between traditional and robotic-assisted techniques. As robotic surgery continues to evolve, the proposed structured training approach ensures surgeons and surgical teams are equipped with the skills required to navigate various platforms, optimize patient outcomes, and advance the field of robotic-assisted surgery.</p>

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A narrative review and proposed framework for robotic surgical training in Urology for Southeast Asia (SEA): a qualitative survey and expert panel recommendations

  • 期刊论文

  • 发表日期：

    2025年10月26日

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  • Kenneth Chen,
  • Alvin Lee,
  • Yu Guang Tan,
  • Ee Jean Lim,
  • Vincent Khor,
  • Daniel Yong,
  • Wai Loon Yam,
  • Agus Rizal Ardy Hariandy Hamid,
  • Samuel Yrastorza,
  • Patrick Tuliao,
  • Hoang Duc Nguyen,
  • Tanan Bejrananda,
  • Tanet Thaidumrong,
  • Kamol Panumatrassamee,
  • Kittinut Kijvikai,
  • Noor Ashani Md Yusoff,
  • Chit Sin Loh,
  • Ho Yee Tiong,
  • Valerie Gan,
  • Kae Jack Tay,
  • Christopher Cheng,
  • Shin Yuet Chong,
  • John Shyi Peng Yuen,
  • Henry Ho

摘要

Robotic surgery has revolutionized modern surgical practices, expanding across multiple specialties due to its precision, reduced invasiveness, and improved patient outcomes. Initially dominated by the da Vinci system, the field has recently seen an influx of new robotic platforms, presenting challenges in training and adaptation for surgeons and surgical teams. The transition to diverse robotic systems necessitates a structured educational framework to ensure competency across varying platforms. This article explores the evolving landscape of robotic surgery, emphasizing the need for a comprehensive training methodology. A qualitative analysis of expert and novice perspectives identified three key domains for robotic surgery education: (1) Foundational Competence, which includes platform-specific training, ergonomics, teamwork, and emergency protocols; (2) Surgical Competence, focusing on systematic procedural training and stepwise surgical execution; and (3) Task-Based Micro-Competence, addressing fundamental skills like hemostasis, lymph node dissection, vascular control, bowel mobilization, and robotic suturing. The framework highlights the importance of platform-specific technical skills, team dynamics, and cognitive ergonomics to enhance surgical efficiency and patient safety. Additionally, it underscores the necessity for standardized training methodologies adaptable to diverse robotic systems. The study advocates for incorporating simulation-based learning, modular training, and emergency drills into robotic surgery education to bridge the gap between traditional and robotic-assisted techniques. As robotic surgery continues to evolve, the proposed structured training approach ensures surgeons and surgical teams are equipped with the skills required to navigate various platforms, optimize patient outcomes, and advance the field of robotic-assisted surgery.