Evidence map›Paper›PMID 38175386›Full record

ArticleInternational urology and nephrology2024

How long do we need to reach sufficient expertise with the avatera® robotic system?

Eirini Anaplioti, Kristiana Gkeka, Paraskevi Katsakiori, Angelis Peteinaris, Vasileios Tatanis, Solon Faitatziadis, Konstantinos Pagonis, Anastasios Natsos, Mohammed Obaidat, Athanasios Vagionis and 5 more

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In one paragraph

Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 3 countries.

Eirini AnapliotiDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Kristiana GkekaDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Paraskevi KatsakioriDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Angelis PeteinarisDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Vasileios TatanisDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Solon FaitatziadisDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Konstantinos PagonisDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Anastasios NatsosDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Mohammed ObaidatDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Athanasios VagionisDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Theodoros SpinosDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Arman TsaturyanDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
Theofanis VrettosDepartment of Anesthesiology, University Hospital of Rion, Patras, Greece.
Evangelos LiatsikosDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece. liatsikos@yahoo.com.
Panagiotis KallidonisDepartment of Urology, University of Patras School of Medicine, University Hospital of Rion, 26504, Rio, Patras, Greece.
University of Patras · GRGeneral University Hospital of Patras · GRErebouni Medical Center · AM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the learning curve in four basic surgical skills in laparoscopic and robotic surgeries, and evaluate the approximate time needed to reach sufficient expertise in performing these tasks with the avatera® system.

methodsTwenty urology residents with no previous experience in dry-lab and robotic surgery were asked to complete four basic laparoscopic tasks (peg transfer, circle cutting, needle guidance, and suturing) laparoscopically and robotically. All participants were asked to complete the tasks first after watching the Uroweb educational material and, second, after undertaking a 2-hour training in robotic and laparoscopic dry-lab. Thereafter, all trainees continued to undertake 2-hour training programs until being able to complete the tasks with the avatera® robot at the desired time. Paired t test and one-way ANOVA test were used to analyze time differences between the groups.

resultsTime needed to complete all tasks either robotically or laparoscopically was significantly less in the second compared to the first attempt for all Groups in each Task. In the robotic dry-lab, time needed to complete the tasks was significantly less than in the laparoscopic dry-lab. A significant effect of previous laparoscopic experience of the participants on the training time needed to achieve most of the goal times was detected.

conclusionThe results of the study highlight the role of previous laparoscopic experience in the training time needed to achieve the performance time goals and demonstrate that the learning curve of basic surgical skills using the avatera® system is steeper than the laparoscopic one.

Indexed as

LaparoscopyRoboticsRobotic Surgical ProceduresClinical CompetenceHumansLearning CurveAvatera® systemDry labLearning curveRobotic systemTraining

Identifiers

PMID38175386
OpenAlexW4390587183

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.