Betty Blocks
Supplementary Table 1 – Components of the intensive week of simulation-based training
|Training type |Training model |Exercises |Time |
|Basic theoretical and practical |da Vinci Si, robotic pelvic trainer (skills |Robotic draping |2 h |
|training |drill device) |Robotic docking | |
| | |Console setting and basic management | |
| |Video clips of robotic procedures performed |Learning of the surgical steps of the main robotic |2 h |
| |by experts |urologic procedures | |
| |Case observation in the operating room |Learning of the surgical steps of the main robotic |8 h |
| | |urologic procedures | |
|Virtual reality simulation |da Vinci surgical simulator system |Camera and clutching |6 h |
| | |Endowrist manipulation | |
| | |Energy and dissection | |
| | |Needle control | |
| | |Needle driving | |
| | |Suturing | |
|Dry laboratory |Robotic pelvic trainer (skills drill device) |Camera and clutching |2 h |
| | |Endowrist manipulation | |
| | |Energy and dissection | |
| | |Needle control | |
| | |Needle driving | |
| | |Suturing | |
|Wet laboratory |Chicken gizzard model (dead material) |Simulation of urethrovesical anastomosis |4 h |
| |Pig kidney model (dead material) |Simulation of partial nephrectomy | |
| |Live pig model |Partial nephrectomy |12 h |
| | |Pyeloplasty | |
| | |Cystotomy and bladder suturing | |
| | |Ureterovesical reimplantation | |
| | |Cystoprostatectomy | |
| | |Urethrovesical anastomosis | |
|Cadaver training |Balsamed cadaver |Robot-assisted radical prostatectomy |4 h |
Supplementary Table 2 – Difficulty levels of the surgical steps for modular training of robot-assisted radical prostatectomy (modified Stolzenburg criteria, difficulty level I–V)
|Surgical step |Difficulty level |
|Trocar placement |I |
|Robot set-up |I |
|Bladder detachment |I |
|Pelvic lymph node dissection |III |
|Endopelvic fascia incision |I |
|Bladder neck incision |III |
|Section of the vasa and preparation of seminal vesicles |II |
|Dissection of the posterior plane |III |
|Dissection of the prostatic pedicles |IV |
|Dissection of the neurovascular bundles |V |
|Ligation of the Santorini plexus |II |
|Apical dissection |IV |
|Urethrovesical anastomosis |III |
Supplementary Table 3 – GEARS scale used to assess the technical performance of fellows
[pic]
Supplementary Table 4 – Procedure-specific scale used to assess the technical performance of fellows in robot-assisted radical prostatectomy
| |1 |2 |3 |4 |5 |
| |Very poor |Poor |Fair |Good |Excellent |
|Bladder detachment | | | | | |
|Endopelvic fascia incision | | | | | |
|Ligation of the dorsal vein complex | | | | | |
|Bladder neck incision | | | | | |
|Dissection of the vasa and seminal vesicles | | | | | |
|Preparation and section of the prostatic pedicles | | | | | |
|Dissection of the neurovascular bundles | | | | | |
|Apical dissection and section of the urethra | | | | | |
|Urethrovesical anastomosis | | | | | |
Supplementary Table 5 – Generic dedicated scoring criteria used to assess the quality of video-recorded surgical steps performed by the participants at the end of the training
|Parameter |Score |Meaning |Descriptive examples |
|Instrument use |1 |Dangerous |Entering instruments blindly |
| |2 |Incompetent |Several attempts |
| |3 |Safe |Identifying anatomy |
| |4 |Masterful |No bleeding, instruments in sight |
|Tissue handling |1 |Traumatic |Uncontrolled movements |
| |2 |Laborious |Repeated attempts |
| |3 |Safe |Effective handling with some damage |
| |4 |Masterful |Avoiding damage |
|Errors |1 |Bleeding |Tissue avulsion, damage to organs |
| |2 |Minor bleeding |Occasional bleeding, no damage |
| |3 |Minimal bleeding |Minimal damage |
| |4 |No bleeding | |
|End result |1 |Damage to organs |Bladder, prostate, bowel |
| |2 |Inadequately performed |Urologist took over |
| |3 |Sufficient |Ready for the next step |
| |4 |Masterful | |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
Related searches
- blocks images free
- believe blocks christmas decor
- used 454 blocks for sale
- betty crocker soda pop cake
- 454 engine blocks for sale
- betty azar grammar book pdf
- crafting blocks recipes 1 14
- betty azar english grammar pdf
- mine blocks unblocked
- commands for command blocks 1 12
- betty crocker cake mix cookies
- picture of blocks for kids