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203 posters, 14 topics, 5 sessions, 817 authors, 256 institutions

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The AAPS 102nd Annual Meeting

May 18-21, 2024 | The Westin Copley Place, Boston, MA

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D41

Preclinical Performance Of The Combined Application Of Two Robotic Systems In Microsurgery - A Two-center Study

Part of Topic

Education/Practice Management/Other

Background: 

The concept of robotic microsurgery bears the potential to offset manual surgical limitations and is recently gaining increasing relevance. Training with these devices is essential to verify their potential clinical utility. This study assesses the learning curves of microsurgeons with different levels of experience using the SymaniSurgical System (MMI) in combination with an exoscope(RoboticScope, BHS Technologies).

Measured Outcomes:

ØTime per anastomosis – operative flow, efficiency
ØMultidimensional Questionnaire – Participant satisfaction, subjective ergonomics1
ØRapid Entire Body Assessment (REBA) – Objective Ergonomics
ØStructured Assessment of Microsurgery Skills (SAMS) – Dexterity, Operative flow
ØAnastomosis Lapse Index (ALI) – Anastomosis quality

Results:

Significant increase in satisfaction with robotic anastomoses in all user groups. Reduction of robotic anastomosis time in all groups


Summary: 

Steep learning curve with robotic systems
Increased precision and dexterity
High user satisfaction
Improved surgical ergonomics

Conclusions:

The concept of robotic microsurgery holds great potential to improve precision and ergonomics in microsurgery. 

In addition, combined surgical and visual robotic systems could leverage remote microsurgery in the future. 

 
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