Volume 199, Issue 1, Pages (January 2018)

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Presentation transcript:

Volume 199, Issue 1, Pages 296-304 (January 2018) Development and Validation of Objective Performance Metrics for Robot-Assisted Radical Prostatectomy: A Pilot Study Andrew J. Hung, Jian Chen, Anthony Jarc, David Hatcher, Hooman Djaladat, Inderbir S. Gill The Journal of Urology Volume 199, Issue 1, Pages 296-304 (January 2018) DOI: 10.1016/j.juro.2017.07.081 Copyright © 2018 American Urological Association Education and Research, Inc. Terms and Conditions

Figure 1 dVLogger, device that records synchronized endoscopic video and system data (kinematic data events) directly from da Vinci Surgical System. The Journal of Urology 2018 199, 296-304DOI: (10.1016/j.juro.2017.07.081) Copyright © 2018 American Urological Association Education and Research, Inc. Terms and Conditions

Figure 2 Scatter plot of performance based on prior experience for 4 study steps of RARP. a, total task completion time as function of prior surgeon experience (console cases). b, instrument path distance of all robotic arms excluding camera. c, average instrument velocity of dominant instrument. Number of cases needed to improve by 50% or 75% in previously mentioned metrics did not differ statistically among 4 steps (p >0.05). The Journal of Urology 2018 199, 296-304DOI: (10.1016/j.juro.2017.07.081) Copyright © 2018 American Urological Association Education and Research, Inc. Terms and Conditions

Figure 3 Illustrative construct validation, with expert and novice surgeon 3-D path tracings of dominant instrument, nondominant instrument and camera during 4 steps of RARP (endoscopic perspective). The Journal of Urology 2018 199, 296-304DOI: (10.1016/j.juro.2017.07.081) Copyright © 2018 American Urological Association Education and Research, Inc. Terms and Conditions

Figure 4 Ratio of nondominant-to-dominant hand use for instrument path distance, instrument moving time and average instrument velocity. Asterisk indicates p <0.05. During dissection tasks (BM, SVD, RLD) expert surgeons used dominant hand more compared to novices. There was no difference in degree of bimanual dexterity during AA. The Journal of Urology 2018 199, 296-304DOI: (10.1016/j.juro.2017.07.081) Copyright © 2018 American Urological Association Education and Research, Inc. Terms and Conditions