The impact of single-port robotic surgery: a survey among urology residents and fellows in the United States

Eugenio Bologna, Leslie Claire Licari, Ketan K. Badani, Shirin Razdan, Sarah P. Psutka, Francesco Ditonno, Roxana Ramos-Carpinteyro, Nicolas A. Soputro, Jamaal C. Jackson, Ryan Nelson, Soroush Rais-Bahrami, Wesley M. White, Hooman Djaladat, Phillip M. Pierorazio, Daniel D. Eun, Alexander Kutikov, Vitaly Margulis, Evan Kovac, Isaac Y. Kim, Uzoma A. AneleReza Mehrazin, Reuben Ben-David, Boyd R. Viers, Li Ming Su, Craig G. Rogers, Firas Abdollah, Ahmed Ghazi, Edward E. Cherullo, Srinivas Vourganti, Christoper L. Coogan, Jay D. Raman, Chandru P. Sundaram, Michael Stifelman, Richard E. Link, Jihad Kaouk, Simone Crivellaro, Riccardo Autorino

Research output: Contribution to journalArticlepeer-review

Abstract

Our aim was to investigate the perception and future expectations of Single-Port (SP) surgery among urology trainees in the United States. A 34-item online survey was distributed to urological residency and fellowship programs across the US, covering demographic profiles, SP training opportunities, perceived educational impact, and future perspectives. Descriptive analysis and multivariable linear regression were used to assess predictors of SP adoption. 201 surveys were completed (28.6% completion rate). Among institutions with an SP platform, about 50% have used it regularly for over 2 years, though often in less than 50% of procedures. While robotic simulators are commonly available, only 17% offer both multi-port and SP simulators, and structured pre-clinical SP training is limited. Approximately 30% of respondents expressed concerns over limited hands-on experience and a steeper learning curve with SP. Around 40% felt that their robotic surgery exposure was negatively impacted by SP's introduction. SP surgery's benefits are seen mostly in the immediate post-operative period and a significant number of respondents foresee a major role for SP in urology. However, proficiency in SP surgery is not seen as crucial for career advancement or job opportunities. Academic job aspirations, SP platform availability, and SP surgery workload are predictors of future SP implementation. Trainees increasingly recognize the clinical benefits of SP procedures but express concerns about the potential negative impact on hands-on experience. Training programs should more systematically integrate SP technology into curricula. There is a correlation between training in high-volume SP centers and future SP adoption.

Original languageEnglish
Article number369
Pages (from-to)369
JournalJournal of Robotic Surgery
Volume18
Issue number1
DOIs
StatePublished - Sep 14 2024

Keywords

  • Robot-assisted
  • SP surgery
  • Survey
  • Urology training
  • Clinical Competence
  • Urologic Surgical Procedures/education
  • Internship and Residency
  • United States
  • Humans
  • Male
  • Fellowships and Scholarships
  • Urology/education
  • Surveys and Questionnaires
  • Female
  • Robotic Surgical Procedures/education

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