Characterization of the robotic surgery experience in minimally invasive surgery fellowships from 2010 to 2021
Background Robotic surgery has experienced exponential growth in the past decade. Few studies have evaluated the impact of robotics within minimally invasive surgery (MIS) fellowship training programs. The purpose of our study was to examine and characterize recent trends in robotic surgery within M...
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| Veröffentlicht in: | Surgical endoscopy 2023-12, Vol.37 (12), p.9393-9398 |
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| creator | Haywood, Nathan Scott, Joshua Zhang, Aimee Hallowell, Peter Schirmer, Bruce |
| description | Background
Robotic surgery has experienced exponential growth in the past decade. Few studies have evaluated the impact of robotics within minimally invasive surgery (MIS) fellowship training programs. The purpose of our study was to examine and characterize recent trends in robotic surgery within MIS fellowship training programs.
Methods
De-identified case log data from the Fellowship Council from 2010 to 2021 were evaluated. Percentage of operations performed with robot assistance over time was assessed and compared to the laparoscopic and open experience. Case logs were further stratified by operative category (e.g., bariatric, hernia, foregut), and robotic experience over time was evaluated for each category. Programs were stratified by percent robot use and the experience over time within each quartile was evaluated.
Results
MIS fellowship training programs with a robotic platform increased from 45.1% (51/113) to 90.4% (123/136) over the study period. The percentage of robotic cases increased from 2.0% (1127/56,033) to 23.2% (16,139/69,496) while laparoscopic cases decreased from 80.2% (44,954/56,033) to 65.3% (45,356/69,496). Hernia and colorectal case categories had the largest increase in robot usage [hernia: 0.7% (62/8614) to 38.4% (4661/12,135); colorectal 4.2% (116/2747) to 31.8% (666/2094)]. When stratified by percentage of robot utilization, current (2020–2021) programs in the > 95th percentile performed 21.8% (3523/16,139) of robotic operations and programs in the > 50th percentile performed 90.0% (14,533/16,139) of all robotic cases. The median number of robotic cases performed per MIS fellow significantly increased from 2010 to 2021 [0 (0–6) to 72.5 (17.8–171.5),
p
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| doi_str_mv | 10.1007/s00464-023-10402-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2860404516</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2899513330</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-729b184e582e776a27430862cc04ffae86cd0ea947e61d19acf8264bfa5552d63</originalsourceid><addsrcrecordid>eNp9kU9v1DAQxS1ERZeWL8ABWeLCJXQ8_pPkiFaFIlXiQs-W1ztmXSXxYiely6fHZUuROHAajfyb56f3GHst4L0AaC8KgDKqAZSNAAXY6GdsJZTEBlF0z9kKegkNtr06ZS9LuYXK90K_YKeyNbpDgBWb1juXnZ8px59ujmniKfB5RzynTZqj52XJ3ygfON3vK0OTJx4nPsYpjm4YDnW5cyXe0RMYaBjSj7KL-8JDTiNHEMDnVCeKc3YS3FDo1eM8YzcfL7-ur5rrL58-rz9cN16imZsW-43oFFWT1LbGYaskdAa9BxWCo874LZDrVUtGbEXvfOjQqE1wWmvcGnnG3h119zl9X6jMdozFV2duorQUi52piSktHtC3_6C3aclTdVepvtdCSgmVwiPlcyolU7D7XBPIByvAPrRhj23Y2ob93YbV9ejNo_SyGWn7dPIn_grII1Dq01Tj-_v3f2R_ASXHlGY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2899513330</pqid></control><display><type>article</type><title>Characterization of the robotic surgery experience in minimally invasive surgery fellowships from 2010 to 2021</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Haywood, Nathan ; Scott, Joshua ; Zhang, Aimee ; Hallowell, Peter ; Schirmer, Bruce</creator><creatorcontrib>Haywood, Nathan ; Scott, Joshua ; Zhang, Aimee ; Hallowell, Peter ; Schirmer, Bruce</creatorcontrib><description>Background
Robotic surgery has experienced exponential growth in the past decade. Few studies have evaluated the impact of robotics within minimally invasive surgery (MIS) fellowship training programs. The purpose of our study was to examine and characterize recent trends in robotic surgery within MIS fellowship training programs.
Methods
De-identified case log data from the Fellowship Council from 2010 to 2021 were evaluated. Percentage of operations performed with robot assistance over time was assessed and compared to the laparoscopic and open experience. Case logs were further stratified by operative category (e.g., bariatric, hernia, foregut), and robotic experience over time was evaluated for each category. Programs were stratified by percent robot use and the experience over time within each quartile was evaluated.
Results
MIS fellowship training programs with a robotic platform increased from 45.1% (51/113) to 90.4% (123/136) over the study period. The percentage of robotic cases increased from 2.0% (1127/56,033) to 23.2% (16,139/69,496) while laparoscopic cases decreased from 80.2% (44,954/56,033) to 65.3% (45,356/69,496). Hernia and colorectal case categories had the largest increase in robot usage [hernia: 0.7% (62/8614) to 38.4% (4661/12,135); colorectal 4.2% (116/2747) to 31.8% (666/2094)]. When stratified by percentage of robot utilization, current (2020–2021) programs in the > 95th percentile performed 21.8% (3523/16,139) of robotic operations and programs in the > 50th percentile performed 90.0% (14,533/16,139) of all robotic cases. The median number of robotic cases performed per MIS fellow significantly increased from 2010 to 2021 [0 (0–6) to 72.5 (17.8–171.5),
p
< 0.01].
Conclusions
Robotic use in MIS fellowship training programs has grown substantially in the past decade, but the laparoscopic and open experience remains robust. There remains an imbalance with the top 50% of busiest robotic programs performing over 90% of robot trainee cases. The experience in MIS programs varies widely and trainees should examine program case logs closely to confirm parallel interests.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-023-10402-5</identifier><identifier>PMID: 37658200</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2023 SAGES Oral ; Abdominal Surgery ; Clinical Competence ; Colorectal Neoplasms ; Education, Medical, Graduate ; Fellowships and Scholarships ; Gastroenterology ; Gynecology ; Hepatology ; Hernia ; Hernias ; Humans ; Internship and Residency ; Laparoscopy ; Laparoscopy - education ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgical Procedures - education ; Proctology ; Robotic surgery ; Robotic Surgical Procedures ; Scholarships & fellowships ; Surgery ; Training</subject><ispartof>Surgical endoscopy, 2023-12, Vol.37 (12), p.9393-9398</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-729b184e582e776a27430862cc04ffae86cd0ea947e61d19acf8264bfa5552d63</cites><orcidid>0000-0003-1926-1123</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-023-10402-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-023-10402-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37658200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haywood, Nathan</creatorcontrib><creatorcontrib>Scott, Joshua</creatorcontrib><creatorcontrib>Zhang, Aimee</creatorcontrib><creatorcontrib>Hallowell, Peter</creatorcontrib><creatorcontrib>Schirmer, Bruce</creatorcontrib><title>Characterization of the robotic surgery experience in minimally invasive surgery fellowships from 2010 to 2021</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Robotic surgery has experienced exponential growth in the past decade. Few studies have evaluated the impact of robotics within minimally invasive surgery (MIS) fellowship training programs. The purpose of our study was to examine and characterize recent trends in robotic surgery within MIS fellowship training programs.
Methods
De-identified case log data from the Fellowship Council from 2010 to 2021 were evaluated. Percentage of operations performed with robot assistance over time was assessed and compared to the laparoscopic and open experience. Case logs were further stratified by operative category (e.g., bariatric, hernia, foregut), and robotic experience over time was evaluated for each category. Programs were stratified by percent robot use and the experience over time within each quartile was evaluated.
Results
MIS fellowship training programs with a robotic platform increased from 45.1% (51/113) to 90.4% (123/136) over the study period. The percentage of robotic cases increased from 2.0% (1127/56,033) to 23.2% (16,139/69,496) while laparoscopic cases decreased from 80.2% (44,954/56,033) to 65.3% (45,356/69,496). Hernia and colorectal case categories had the largest increase in robot usage [hernia: 0.7% (62/8614) to 38.4% (4661/12,135); colorectal 4.2% (116/2747) to 31.8% (666/2094)]. When stratified by percentage of robot utilization, current (2020–2021) programs in the > 95th percentile performed 21.8% (3523/16,139) of robotic operations and programs in the > 50th percentile performed 90.0% (14,533/16,139) of all robotic cases. The median number of robotic cases performed per MIS fellow significantly increased from 2010 to 2021 [0 (0–6) to 72.5 (17.8–171.5),
p
< 0.01].
Conclusions
Robotic use in MIS fellowship training programs has grown substantially in the past decade, but the laparoscopic and open experience remains robust. There remains an imbalance with the top 50% of busiest robotic programs performing over 90% of robot trainee cases. The experience in MIS programs varies widely and trainees should examine program case logs closely to confirm parallel interests.</description><subject>2023 SAGES Oral</subject><subject>Abdominal Surgery</subject><subject>Clinical Competence</subject><subject>Colorectal Neoplasms</subject><subject>Education, Medical, Graduate</subject><subject>Fellowships and Scholarships</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Laparoscopy</subject><subject>Laparoscopy - education</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgical Procedures - education</subject><subject>Proctology</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures</subject><subject>Scholarships & fellowships</subject><subject>Surgery</subject><subject>Training</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9v1DAQxS1ERZeWL8ABWeLCJXQ8_pPkiFaFIlXiQs-W1ztmXSXxYiely6fHZUuROHAajfyb56f3GHst4L0AaC8KgDKqAZSNAAXY6GdsJZTEBlF0z9kKegkNtr06ZS9LuYXK90K_YKeyNbpDgBWb1juXnZ8px59ujmniKfB5RzynTZqj52XJ3ygfON3vK0OTJx4nPsYpjm4YDnW5cyXe0RMYaBjSj7KL-8JDTiNHEMDnVCeKc3YS3FDo1eM8YzcfL7-ur5rrL58-rz9cN16imZsW-43oFFWT1LbGYaskdAa9BxWCo874LZDrVUtGbEXvfOjQqE1wWmvcGnnG3h119zl9X6jMdozFV2duorQUi52piSktHtC3_6C3aclTdVepvtdCSgmVwiPlcyolU7D7XBPIByvAPrRhj23Y2ob93YbV9ejNo_SyGWn7dPIn_grII1Dq01Tj-_v3f2R_ASXHlGY</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Haywood, Nathan</creator><creator>Scott, Joshua</creator><creator>Zhang, Aimee</creator><creator>Hallowell, Peter</creator><creator>Schirmer, Bruce</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1926-1123</orcidid></search><sort><creationdate>20231201</creationdate><title>Characterization of the robotic surgery experience in minimally invasive surgery fellowships from 2010 to 2021</title><author>Haywood, Nathan ; Scott, Joshua ; Zhang, Aimee ; Hallowell, Peter ; Schirmer, Bruce</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-729b184e582e776a27430862cc04ffae86cd0ea947e61d19acf8264bfa5552d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>2023 SAGES Oral</topic><topic>Abdominal Surgery</topic><topic>Clinical Competence</topic><topic>Colorectal Neoplasms</topic><topic>Education, Medical, Graduate</topic><topic>Fellowships and Scholarships</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Laparoscopy</topic><topic>Laparoscopy - education</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgical Procedures - education</topic><topic>Proctology</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures</topic><topic>Scholarships & fellowships</topic><topic>Surgery</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haywood, Nathan</creatorcontrib><creatorcontrib>Scott, Joshua</creatorcontrib><creatorcontrib>Zhang, Aimee</creatorcontrib><creatorcontrib>Hallowell, Peter</creatorcontrib><creatorcontrib>Schirmer, Bruce</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haywood, Nathan</au><au>Scott, Joshua</au><au>Zhang, Aimee</au><au>Hallowell, Peter</au><au>Schirmer, Bruce</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization of the robotic surgery experience in minimally invasive surgery fellowships from 2010 to 2021</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>37</volume><issue>12</issue><spage>9393</spage><epage>9398</epage><pages>9393-9398</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Robotic surgery has experienced exponential growth in the past decade. Few studies have evaluated the impact of robotics within minimally invasive surgery (MIS) fellowship training programs. The purpose of our study was to examine and characterize recent trends in robotic surgery within MIS fellowship training programs.
Methods
De-identified case log data from the Fellowship Council from 2010 to 2021 were evaluated. Percentage of operations performed with robot assistance over time was assessed and compared to the laparoscopic and open experience. Case logs were further stratified by operative category (e.g., bariatric, hernia, foregut), and robotic experience over time was evaluated for each category. Programs were stratified by percent robot use and the experience over time within each quartile was evaluated.
Results
MIS fellowship training programs with a robotic platform increased from 45.1% (51/113) to 90.4% (123/136) over the study period. The percentage of robotic cases increased from 2.0% (1127/56,033) to 23.2% (16,139/69,496) while laparoscopic cases decreased from 80.2% (44,954/56,033) to 65.3% (45,356/69,496). Hernia and colorectal case categories had the largest increase in robot usage [hernia: 0.7% (62/8614) to 38.4% (4661/12,135); colorectal 4.2% (116/2747) to 31.8% (666/2094)]. When stratified by percentage of robot utilization, current (2020–2021) programs in the > 95th percentile performed 21.8% (3523/16,139) of robotic operations and programs in the > 50th percentile performed 90.0% (14,533/16,139) of all robotic cases. The median number of robotic cases performed per MIS fellow significantly increased from 2010 to 2021 [0 (0–6) to 72.5 (17.8–171.5),
p
< 0.01].
Conclusions
Robotic use in MIS fellowship training programs has grown substantially in the past decade, but the laparoscopic and open experience remains robust. There remains an imbalance with the top 50% of busiest robotic programs performing over 90% of robot trainee cases. The experience in MIS programs varies widely and trainees should examine program case logs closely to confirm parallel interests.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37658200</pmid><doi>10.1007/s00464-023-10402-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1926-1123</orcidid></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | 2023 SAGES Oral Abdominal Surgery Clinical Competence Colorectal Neoplasms Education, Medical, Graduate Fellowships and Scholarships Gastroenterology Gynecology Hepatology Hernia Hernias Humans Internship and Residency Laparoscopy Laparoscopy - education Medicine Medicine & Public Health Minimally Invasive Surgical Procedures - education Proctology Robotic surgery Robotic Surgical Procedures Scholarships & fellowships Surgery Training |
| title | Characterization of the robotic surgery experience in minimally invasive surgery fellowships from 2010 to 2021 |
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