Mp43-04 Single-Port Thunderdome: Design of a Customizable Single Port Robotic Skill Development Platform Using a Consensus-Driven Approach

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology II (MP43)1 May 2024MP43-04 SINGLE-PORT THUNDERDOME: DESIGN OF A CUSTOMIZABLE SINGLE PORT ROBOTIC SKILL DEVELOPMENT PLATFORM USING A CONSENSUS-DRIVEN APPROACH Nathan A. Schuler, Lauren Shepard, Patrick Saba, Sammy Elsamra, Simone Crivellaro, Jihad Kaouk, and Ahmed Ghazi Nathan A. SchulerNathan A. Schuler , Lauren ShepardLauren Shepard , Patrick SabaPatrick Saba , Sammy ElsamraSammy Elsamra , Simone CrivellaroSimone Crivellaro , Jihad KaoukJihad Kaouk , and Ahmed GhaziAhmed Ghazi View All Author Informationhttps://doi.org/10.1097/01.JU.0001008720.96896.83.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Single port (SP) robotics demonstrate comparable outcomes to multi-port (MP) platforms, however safe adoption is hindered by the need to acquire new platform-specific skills. Despite growing interest in SP, there is no current standardized training curriculum. Our objective was to develop an adaptable platform with customized hydrogel surgical tasks, specific to SP robotics, based on Delphi Expert Consensus. METHODS: 22 SP experts participated in a three-phase modified Delphi consensus building approach. 250 questions were included in 3 categories: overall utility of the curriculum, components of a simulation-based SP curriculum, and assessment of surgical performance. Components reaching a content validity index≥0.80 were used to design a prototype training dome with standardized training models derived from Delphi results. Pilot testing was done by expert instructors at a SP hands-on course using a 5-point Likert scale (n=8). RESULTS: 34% of the 250 questions reached consensus, with 63.5% of consensus questions reaching 100% agreement. Experts agreed: inherent differences exist between SP and MP leading to challenging skill transfer, current training does not address SP-specific needs, and patient safety necessitates a simulation curriculum derived from expert consensus using validated educational approaches. 11 basic and 7 advanced SP-specific skills were identified for the SP curriculum. Using 3D printing and Hydrogel casting, 6 tasks and 2 of 4 procedures were fabricated to address SP-specific skills and provide comprehensive procedural training (Figure 1). 100%, 87.5%, and 75% of experts agreed the tasks provide a realistic platform for SP training, address training of basic and advanced skills identified in the consensus, and repeated practice on these tasks would improve performance for SP surgery, respectively. All experts agreed that the developed extraperitoneal radical prostatectomy and retroperitoneal partial nephrectomy models realistically replicated all steps of the procedure to provide a suitable training platform prior to live surgery. CONCLUSIONS: We present a training platform for necessary skill acquisition using the SP platform, with specific simulation models addressing critical skill domains identified via expert consensus. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e693 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nathan A. Schuler More articles by this author Lauren Shepard More articles by this author Patrick Saba More articles by this author Sammy Elsamra More articles by this author Simone Crivellaro More articles by this author Jihad Kaouk More articles by this author Ahmed Ghazi More articles by this author Expand All Advertisement PDF downloadLoading ...