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  • 235
  • 2014-12-15

Nancy Robotic & Simulation Training Center: evaluation of surgical learning curves

Epublication WebSurg.com, Dec 2014;14(12). URL:
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The teaching of surgery, as in other medical disciplines, is currently undergoing a dramatically (r)evolution. As a result, the development of minimally invasive techniques (laparoscopic, robotic assisted devices, etc.) requires constant re-assessment and certification of surgical skills. This involves new educational strategies based on surgical simulation in order to improve technical and gestural techniques and ultimately patient’s safety. We have developed a multidisciplinary center of simulation in surgical training and especially in robotics. Surgical simulators are becoming a credible alternative to practical surgery training. They can be used to train in a stepwise fashion in extremely realistic interventions (virtual reality) with the added bonus of measurable spatial and temporal parameters to gauge a user's performance. The latest generation of simulators can even reproduce a particular intervention based on patient imaging data prior to surgery in the operating room. We propose various workshops, each concentrating on one surgical specialty (ENT, gynecology, ophthalmology, implantology, vascular surgery, interventional cardiology and cardiac surgery, digestive surgery, orthopedic surgery, and arthroscopy). Sessions are practice-based, with groundbreaking industrial equipment. Our aim is to study and apply the most innovative approaches in order to improve the relationship between coherence in learning practice and constant improvement in the measurable and quantifiable skills throughout the process from classroom to patients via the simulator. The programs will provide practical answers to questions about: - the role of simulators in surgery and how it relates to the acquisition of increasingly complex psychomotor skills (e.g., constant re-adaptation of 3D perception based on 2D imaging, coordination of surgical gestures, understanding and mastering the new environment "tool-patient", etc.); - the evolution of surgical certification. Authors: N. Tran, P. Maureira, C. Perrenot, D. Joseph, J. Hubert, L. Bresler