Key result
Experienced robot-assisted partial nephrectomy surgeons made 69% fewer procedural total errors compared to novice surgeons (p=0.002).
Why the study?
No common system exists to objectively assess trainee capacity to perform RAPN at predetermined performance levels prior to in-vivo practice, making objective metrics crucial to improve training and surgical outcomes.
Do objective intraoperative performance metrics reliably distinguish between novice and experienced RAPN surgeons?
Comparison
Novice vs Experienced surgeons
Design
Blinded comparative validation study
Authors
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Error metrics may distinguish RAPN expertise; leaves open validation for training or outcomes.
Observational (n=16)
Assessors were blinded to the performing surgeon, hospital and surgeon group
Yes
Do objective intraoperative performance metrics reliably distinguish between novice and experienced RAPN surgeons?
Effect estimate: 69% fewer Total Errors
Absolute Event Rate: 10.25% vs 17.25%
p-value: p=0.002
Objective intraoperative performance metrics can reliably distinguish between novice and experienced surgeons performing robot-assisted partial nephrectomy.
Farinha et al. (2022) conducted an observational in Robot-assisted partial nephrectomy (RAPN) surgical skills (n=16). Experienced RAPN surgeons vs. Novice RAPN surgeons was evaluated on Total Errors (sum of Errors and Critical Errors) (69% fewer Total Errors, p=0.002). Experienced robot-assisted partial nephrectomy surgeons made 69% fewer procedural total errors compared to novice surgeons (p=0.002).
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