Robotic Simulation Training with Da Vinci Xi: Bridging Console Skills and Enhancing Laparoscopic Proficiency in a Gynecologic Surgeon

Aims and background: Robotic surgery is increasingly integrated into gynecology, but transitioning from conventional laparoscopy to roboticassisted procedures requires both console familiarity and advanced surgical dexterity.Simulation-based training provides a structured, riskfree pathway for this transition.To evaluate robotic skill acquisition, console orientation, and the impact of Da Vinci Xi simulation training on laparoscopic proficiency in an experienced gynecologic surgeon.Materials and methods: A 12 days (28 hours) self-directed training curriculum was completed using the Da Vinci Xi simulator.Twelve validated modules and full console setup tasks (power connection, system booting, cable configuration, and ergonomic adjustments) were undertaken.Outcomes were measured by simulator-generated performance scores, task completion, and self-assessed confidence (0-10 scale).Secondary outcomes included perceived impact on laparoscopic performance.Results: Baseline simulator scores (10-65%) improved to 75-100% after training, with marked gains in robotic suturing and precision tasks.Module-specific progress included sea spikes 1 (65→99%), clutch (58→100%), wrist articulation (60→100%), and ring roller coaster (50→100%).By day 7, consolidation was evident in three-arm relay 2 (33→87%), ring tower transfer (76→97%), and knot tying (72→100%).Independent execution of console setup tasks demonstrated procedural mastery.Confidence improved from 3/10 to 9/10.Notably, robotic training enhanced depth perception, spatial awareness, and suturing precision, which translated into improved laparoscopic technique.Conclusion: Structured simulation with the Da Vinci Xi effectively bridges the transition from laparoscopy to robotic-assisted surgery (RAS).Beyond robotic preparedness, simulation-based training reinforced core laparoscopic competencies, suggesting a synergistic role in surgical education and curriculum design.Clinical significance: Simulation-based robotic training significantly improves console proficiency and surgeon confidence while simultaneously strengthening laparoscopic suturing and spatial perception.These findings support adopting robotic simulation as an essential component of gynecologic minimally invasive surgery training pathways.