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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

SURVEY OF RESIDENT TRAINING IN ROBOTIC SURGERY .
Harry W. Donias 1, R. L. Karamanoukian 2, Philip L. Glick 3, Jacob Bergsland 3,4, E. Kabil, G. Czibik and H. L. Karamanoukian 4,5.
Department of Surgery, State University of New York at Buffalo 1,
Department of Surgery, University of California, San Diego 2,
Department of Pediatric Surgery, Children's Hospital of Buffalo 3,
Division of Cardiothoracic Surgery and the Center of Less Invasive Cardiac Surgery and Robotic Heart Surgery at Kaleida Health at Buffalo General Hospital 4,
Department of Cardiothoracic Surgery, State University of New York, Buffalo,USA 5.

Background: Significant technological advances over the past decade have allowed for development of minimally invasive techniques in a variety of surgical disciplines. Robotics has been recognised as a major driving force in the advancement of minimally invasive surgery. However, the extent to which General Surgery residents are being trained to use robotic technology has never been assessed. The aim of the present study was to determine the prevalence and the application of robotics in American surgical training programs, as well as the experience of surgical residents throughout the country. Study Design: A postal, multiple-choice survey questionnaire was sent to all program directors (n0261) of accredited General Surgery training programs in the US. Due to an initial incomplete response a second mailing to non-responders took place. Responses were tabulated and analysed. Results: The overall response rate was 32% (83/261 program directors). A total of 29% of program directors indicated interest in minimally invasive surgery. 12% of responders have used robotics in their practice and 63% felt robotics will play an important role in the future of General Surgery. Currently, residents from 15% of US training programs have limited didactic exposure, and residents from the remaining 83% of training programs were identified as having no exposure to robotic technology by their program directors. Program directors from 27% of all responding programs identified plans to incorporate robotics into their training program. 66% stated they had no future plans on incorporating robotics into training of residents, and 11% stated they were still uncertain. Conclusion: Robotics have been shown to make standard endoscopic surgical procedures more efficient and cost-effective, as well as allowing a variety of surgical procedures that were only possible with conventional methods to be completed with minimally invasive techniques. This new technology promises to be a large part of the future of surgery and as such deserves more attention in the General Surgery training programs.

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