Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons

Objective This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery. Methods We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents...

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Main Authors: Jun Seok Lee, Dong Wuk Son, Su Hun Lee, Jong Hyeok Lee, Young Ha Kim, Sang Weon Lee, Bu Kwang Oh, Soon Ki Sung, Geun Sung Song, Seong Yi
Format: Article
Language:English
Published: Korean Spinal Neurosurgery Society 2024-03-01
Series:Neurospine
Subjects:
Online Access:http://www.e-neurospine.org/upload/pdf/ns-2448006-003.pdf
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author Jun Seok Lee
Dong Wuk Son
Su Hun Lee
Jong Hyeok Lee
Young Ha Kim
Sang Weon Lee
Bu Kwang Oh
Soon Ki Sung
Geun Sung Song
Seong Yi
author_facet Jun Seok Lee
Dong Wuk Son
Su Hun Lee
Jong Hyeok Lee
Young Ha Kim
Sang Weon Lee
Bu Kwang Oh
Soon Ki Sung
Geun Sung Song
Seong Yi
author_sort Jun Seok Lee
collection DOAJ
description Objective This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery. Methods We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents. Subsequently, we offered a hands-on training program using a dummy to educate one resident. After completing the program, the trained resident performed spinal fusion surgery with robotic assistance under the supervision of a mentor. The clinical outcomes and learning curve associated with robotic surgery were then analyzed. Results Neurosurgical residents had limited opportunities to participate in spinal surgery during their training. Despite this, there was a significant interest in the emerging field of robotic surgery. A trained resident performed RASS under the supervision of a senior surgeon. A total of 166 screw insertions were attempted in 28 patients, with 2 screws failing due to skiving. According to the Gertzbein-Robbins classification, 85.54% of the screws were rated as grade A, 11.58% as grade B, 0.6% as grade C, and 1.2% as grade D. The clinical acceptance rate was approximately 96.99%, which is comparable to the results reported by senior experts and time per screw statistically significantly decreased as experience was gained. Conclusion RASS can be performed with high accuracy within a relatively short timeframe, if residents receive adequate training.
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spelling doaj.art-2cc2b8cecbc348fbb91a2c42c8dcf5402024-03-28T07:08:10ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912024-03-0121111612710.14245/ns.2448006.0031548Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine SurgeonsJun Seok Lee0Dong Wuk Son1Su Hun Lee2Jong Hyeok Lee3Young Ha Kim4Sang Weon Lee5Bu Kwang Oh6Soon Ki Sung7Geun Sung Song8Seong Yi9 Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaObjective This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery. Methods We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents. Subsequently, we offered a hands-on training program using a dummy to educate one resident. After completing the program, the trained resident performed spinal fusion surgery with robotic assistance under the supervision of a mentor. The clinical outcomes and learning curve associated with robotic surgery were then analyzed. Results Neurosurgical residents had limited opportunities to participate in spinal surgery during their training. Despite this, there was a significant interest in the emerging field of robotic surgery. A trained resident performed RASS under the supervision of a senior surgeon. A total of 166 screw insertions were attempted in 28 patients, with 2 screws failing due to skiving. According to the Gertzbein-Robbins classification, 85.54% of the screws were rated as grade A, 11.58% as grade B, 0.6% as grade C, and 1.2% as grade D. The clinical acceptance rate was approximately 96.99%, which is comparable to the results reported by senior experts and time per screw statistically significantly decreased as experience was gained. Conclusion RASS can be performed with high accuracy within a relatively short timeframe, if residents receive adequate training.http://www.e-neurospine.org/upload/pdf/ns-2448006-003.pdfrobot-assisted spine surgerypedicle screwslearning curveresidency curricula
spellingShingle Jun Seok Lee
Dong Wuk Son
Su Hun Lee
Jong Hyeok Lee
Young Ha Kim
Sang Weon Lee
Bu Kwang Oh
Soon Ki Sung
Geun Sung Song
Seong Yi
Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
Neurospine
robot-assisted spine surgery
pedicle screws
learning curve
residency curricula
title Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
title_full Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
title_fullStr Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
title_full_unstemmed Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
title_short Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
title_sort robotic assisted spine surgery role in training the next generation of spine surgeons
topic robot-assisted spine surgery
pedicle screws
learning curve
residency curricula
url http://www.e-neurospine.org/upload/pdf/ns-2448006-003.pdf
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