The use of robots in surgery began in the early 1970s. The actions that could be performed in Laparoscopic practice, which was a common use at the time, were relatively limited compared to the potential of robotic surgery. Robot is minimally invasive technology with wrist capability, tremor filtration and three-dimensional optics advantages compared to laparoscopy. The robotic surgery system has been adopted by urologists in minimally invasive surgery, especially since it facilitates access to depth in the pelvis area. The use of the robotic surgery system has accelerated the transition to minimally invasive surgery and has led to a completely different skill set for the urology surgeon. Because of this advantage, urologists became the first practitioners of robotic surgery technology. Robotic surgery has been used in urological oncology for over 20 years. The use of robotic surgical approaches continues to expand in many surgical fields. In parallel with this expansion, robotics education is becoming more and more important. The development of robotic skills follows the phase of observing, helping, performing under supervision, and finally independent practice. Basic robotic surgery training is divided into two: patient-side training and console training. Patient-side training includes patient positioning, pneumoperitoneum creation, port placement, robot placement, and basic laparoscopic skills. The need for high capacity application without compromising patient care has been met by surgical simulations and especially virtual reality (VR) surgical simulations. VR simulation is increasingly used in medical education and is considered the first and important step in robotic surgery education. Programmed training curricula have been developed for learning the robotic surgery system. While various groups are currently developing the robotics curriculum, there are four prominent groups of curriculums: FRS (Fundamentals of Robotic Surgery), FSRS (Fundamental Skills of Robotic Surgery), BSTC (Basic Skills Training Curriculum) and ERUS (Eau Robotic Urology Section). The Da Vinci Surgical System is considered the gold standard of robot-assisted laparoscopic surgery. Newly produced robotic systems must compete with this current gold standard. Each resulting system should be compared to the da Vinci robotic system to evaluate potential effectiveness and safety. In newly developed robotic surgery systems, it seems that new technologies have been applied by trying to improve the functionality of the old system and have been developed by taking into account the missing features in the installed system. Whether these new features will attract surgeons to adopt and use new robotic systems in clinical practice is a question that needs to be answered in the near future.

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Starting Robotics, Training and Models

  • Eyup Veli Kucuk,
  • Alper Kerem Aksoy

摘要

The use of robots in surgery began in the early 1970s. The actions that could be performed in Laparoscopic practice, which was a common use at the time, were relatively limited compared to the potential of robotic surgery. Robot is minimally invasive technology with wrist capability, tremor filtration and three-dimensional optics advantages compared to laparoscopy. The robotic surgery system has been adopted by urologists in minimally invasive surgery, especially since it facilitates access to depth in the pelvis area. The use of the robotic surgery system has accelerated the transition to minimally invasive surgery and has led to a completely different skill set for the urology surgeon. Because of this advantage, urologists became the first practitioners of robotic surgery technology. Robotic surgery has been used in urological oncology for over 20 years. The use of robotic surgical approaches continues to expand in many surgical fields. In parallel with this expansion, robotics education is becoming more and more important. The development of robotic skills follows the phase of observing, helping, performing under supervision, and finally independent practice. Basic robotic surgery training is divided into two: patient-side training and console training. Patient-side training includes patient positioning, pneumoperitoneum creation, port placement, robot placement, and basic laparoscopic skills. The need for high capacity application without compromising patient care has been met by surgical simulations and especially virtual reality (VR) surgical simulations. VR simulation is increasingly used in medical education and is considered the first and important step in robotic surgery education. Programmed training curricula have been developed for learning the robotic surgery system. While various groups are currently developing the robotics curriculum, there are four prominent groups of curriculums: FRS (Fundamentals of Robotic Surgery), FSRS (Fundamental Skills of Robotic Surgery), BSTC (Basic Skills Training Curriculum) and ERUS (Eau Robotic Urology Section). The Da Vinci Surgical System is considered the gold standard of robot-assisted laparoscopic surgery. Newly produced robotic systems must compete with this current gold standard. Each resulting system should be compared to the da Vinci robotic system to evaluate potential effectiveness and safety. In newly developed robotic surgery systems, it seems that new technologies have been applied by trying to improve the functionality of the old system and have been developed by taking into account the missing features in the installed system. Whether these new features will attract surgeons to adopt and use new robotic systems in clinical practice is a question that needs to be answered in the near future.