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The field of minimally invasive surgery (MIS) has now taken centre stage in modern clinical practice. With ever changing technologies in the field of MIS, such as robotics, there is now the need to train the surgeon to the next degree. Training by simulation, whether virtual, hybrid, or real, allows the surgeon to rehearse, learn, improve or maintain their skills in a safe and stress free environment. Simulation Training in Laparoscopy and Robotic Surgery gives a true insight into the latest educational and learning techniques for new technologies in surgery. Written by an international team of experts, this illustrated text provides advice on specialised team training, non technical skills and simulation. Simulation Training in Laparoscopy and Robotic Surgery is an important training aide for surgeons and residents interested in developing skills in this field.
This book provides a broad overview on training in Minimal Access Surgery, with expert opinions from leaders in the field clarifying the definitions and terminology related to competence and accreditation. It also provides expert advice on how to set up a training unit and explores the role and impact of all types of simulations on training including virtual reality simulation. How to design a competency-based training curriculum in advanced laparoscopic surgery is also explored along with in depth examination of the role of assessment and competency based accreditation. Training in Minimal Access Surgery is a valuable resource for all health care professionals who are involved in training and education in Minimal Access Surgery including trainers and supervisors. There is well established and robust evidence to support the benefits of laparoscopic surgery in terms of better pain control, fewer complications and shorter length of stay with an earlier return to work. Hence, there is now widespread adoption of laparoscopic techniques in many surgical specialties including colorectal and morbid obesity surgery across the world.
Simulation in Surgical Training and Practice is reviewed extensively in this important Surgical Clinics of North America issue. Articles include: Applying Educational Theory to Simulation Based Training and Assessment in Surgery; Figuring out Team Simulation Training; Faculty Development for Simulation Training; The Evolving Role of Simulation in Teaching Surgery in Undergraduate Medical Education; Using Simulation in Inter-Professional Education; Current Status of Simulation Based Training in Graduate Medical Education; National Simulation-based Training of Fellows: The Vascular Surgery Example; Paying For it: Funding Models for Simulation Centers; Surgical Simulation Centers as Educational Homes for Practicing Surgeons; Better Assessment: Advanced Engineering Technology for Measuring Performance In and Out of the Simulation Lab; Moving the Needle – Simulation’s Impact on Patient Outcomes; Human Factors Engineering and Effective Simulation – Partners for Improved Patient Safety; Simulation for the Assessment and Improvement of Teamwork and Communication in the Operating Room; Using Simulation to Improve Systems; Simulation for Maintenance of Certification; and more!
For every complex and expensive system, there emerges a need for training devices and scenarios that will assist new learners in mastering the use of the device and understanding how to apply it with value. This has proven to be true in aviation, nuclear power control, and medicine among other fields. Laparoscopic surgery simulators have played a valuable role in improving the practice of surgery over the last 20 years and the same trends and values will likely apply in robotic surgery. The complexity, criticality, and cost associated with the effective application of the da Vinci surgical robot have stimulated the commercial creation of simulators which replicate the operations of this robot. Each of these simulators provides a slightly different perspective and solution to the problem. This book explores the characteristics and differences between all of the currently available devices. The details provided here are structured to equip readers with sufficient knowledge about the simulators to make their own decisions about which best meets their needs. Each of them possesses unique traits which make them valuable solutions for different types of users. It is not our intent to make a universal recommendation of one device over the others. Readers should draw their own conclusions based on their unique needs for a device. The three current simulation devices for the da Vinci robot are the: da Vinci Skills Simulator (Intuitive Surgical Inc.), dV-Trainer (Mimic Technologies Inc.) and Robotic Surgery Simulator (Simulated Surgical Systems LLC). The three simulators which are described in this book offer a different value proposition to potential purchasers and to novice learners. The da Vinci Skills Simulator, dV-Trainer, an RoSS are complex systems which are significantly less costly than the actual da Vinci robotic surgical system and can be operated at a fraction of the cost of the instruments required for this robot. The intent of this book is to present the characteristics of each system to enable intelligent and informed purchasing and usage decisions.
Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.
The problem addressed in this PhD thesis is how to offer an effective and efficient VR means of training in laparoscopic surgery. The question is to determine what makes it a useful didactic tool. This work is conceived to be a bridge between surgical tra
This book presents a comprehensive overview of the various aspects for the development of smart cities from a European perspective. It presents both theoretical concepts as well as empirical studies and cases of smart city programs and their capacity to create value for citizens. The contributions in this book are a result of an increasing interest for this topic, supported by both national governments and international institutions. The book offers a large panorama of the most important aspects of smart cities evolution and implementation. It compares European best practices and analyzes how smart projects and programs in cities could help to improve the quality of life in the urban space and to promote cultural and economic development.
This book presents the work and development of endourology and the contribution of East Asian Society of Endourology. This book is intended to familiarize the modern urologists with the common endourology, laparoscopic and robotic urologic procedures and the development of technology, techniques and training. The book is the collection of papers and presentations in Congress of East Asia Society of Endourology. Recognized experts in the field of endourology have contributed to share their experiences and opinions. It consists of latest update and advancement of surgical techniques, technology in minimal invasive surgery. The development of endoscopic, laparoscopic and robotic urological operations is reviewed. A whole session is dedicated to training in endourology are included. Detail descriptions of perioperative preparation, step-by-step surgical procedures and tips/tricks will be emphasized in the corresponding chapters, supplemented by photographs and illustrations. In the first session, techniques on kidney, bladder and prostate surgeries are discussed. In the second session, is dedicated to the advances of new technologies in endourology. The third session covers the important areas of endourology training and the development of endourology. This book is most suitable for urology residents and young fellows who are keen to start their endourological training. It also provides up-to-date information on current topics of endourology for practicing urologists and experienced endourologists.