Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs
BackgroundRobotic-assisted abdominal wall surgery demands advanced technical proficiency. The advent of robotic platforms has driven the development of various training approaches, including simulation-based modules, animal models, and structured curricula. This systematic review critically assesses...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Journal of Abdominal Wall Surgery |
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| Online Access: | https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.15190/full |
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| author | Francesco Brucchi Francesco Brucchi Francesco Brucchi Annabelle De Troyer Alice Gori Alice Gori Gianlorenzo Dionigi Gianlorenzo Dionigi Eva Vanderstraeten Alexander Mottrie Isabelle Van Herzeele Isabelle Van Herzeele Niki Rashidian Niki Rashidian Filip Muysoms |
| author_facet | Francesco Brucchi Francesco Brucchi Francesco Brucchi Annabelle De Troyer Alice Gori Alice Gori Gianlorenzo Dionigi Gianlorenzo Dionigi Eva Vanderstraeten Alexander Mottrie Isabelle Van Herzeele Isabelle Van Herzeele Niki Rashidian Niki Rashidian Filip Muysoms |
| author_sort | Francesco Brucchi |
| collection | DOAJ |
| description | BackgroundRobotic-assisted abdominal wall surgery demands advanced technical proficiency. The advent of robotic platforms has driven the development of various training approaches, including simulation-based modules, animal models, and structured curricula. This systematic review critically assesses current training strategies and models, comparing their effectiveness in skill acquisition through validated assessment tools and evaluating their implementation from a cost-effectiveness perspective.MethodsA comprehensive search of the scientific literature was conducted across three major databases (PubMed, Embase, Cochrane, Google Scholar) up to April 2025. The study was registered in PROSPERO (CRD420251027155) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were selected based on inclusion of robotic training programs related to abdominal wall surgery.ResultsOut of 3,038 records identified, 8 studies were included. The overall methodological quality was acceptable, with all studies showing moderate risk of bias. Training models varied and included virtual reality simulation (n = 4), inanimate models (n = 3), porcine models (n = 2), and intraoperative training (n = 4). Three studies described integrated, proficiency-based curricula. Skill acquisition was reported using validated tools such as GEARS, OSATS, or the Zwisch scale in only two studies. Reported costs ranged from €40 for silicone models to €600 for porcine models; one study demonstrated $1,207 in cost savings per case post-training.ConclusionCurrent training models for robotic-assisted abdominal wall surgery are heterogeneous in design, assessment methods, and cost. While integrated curricula show promise, few studies employ validated tools to evaluate skill acquisition. Further high-quality research is needed to standardize training approaches and assess their cost-effectiveness. |
| format | Article |
| id | doaj-art-6f33aa1d039f4b248d8fd5e5188cba8b |
| institution | Kabale University |
| issn | 2813-2092 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Journal of Abdominal Wall Surgery |
| spelling | doaj-art-6f33aa1d039f4b248d8fd5e5188cba8b2025-08-20T03:44:06ZengFrontiers Media S.A.Journal of Abdominal Wall Surgery2813-20922025-08-01410.3389/jaws.2025.1519015190Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet NeedsFrancesco Brucchi0Francesco Brucchi1Francesco Brucchi2Annabelle De Troyer3Alice Gori4Alice Gori5Gianlorenzo Dionigi6Gianlorenzo Dionigi7Eva Vanderstraeten8Alexander Mottrie9Isabelle Van Herzeele10Isabelle Van Herzeele11Niki Rashidian12Niki Rashidian13Filip Muysoms14Department of General Surgery, University of Milan, Milan, ItalyORSI Academy, Melle, BelgiumDepartment of General Surgery, AZ Maria Middelares, Ghent, BelgiumDepartment of General Surgery, Ziekenhuis Aan de Stroom (ZAS) Antwerp, Antwerp, BelgiumORSI Academy, Melle, BelgiumDepartment of General Surgery, University of Bologna, Bologna, ItalyDivision of General and Endocrine Surgery, Istituto Auxologico Italiano, IRCCS (Istituto di Ricovero e Cura a Carattere Scientifco), Milan, ItalyDepartment of Pathophysiology and Transplantation, University of Milan, Milan, ItalyORSI Academy, Melle, BelgiumORSI Academy, Melle, BelgiumORSI Academy, Melle, BelgiumDepartment of Thoracovascular Surgery, Ghent University Hospital, Ghent, BelgiumORSI Academy, Melle, BelgiumDepartment of General, HPB Surgery, and Liver Transplantation, Ghent University Hospital, Ghent, BelgiumDepartment of General Surgery, AZ Maria Middelares, Ghent, BelgiumBackgroundRobotic-assisted abdominal wall surgery demands advanced technical proficiency. The advent of robotic platforms has driven the development of various training approaches, including simulation-based modules, animal models, and structured curricula. This systematic review critically assesses current training strategies and models, comparing their effectiveness in skill acquisition through validated assessment tools and evaluating their implementation from a cost-effectiveness perspective.MethodsA comprehensive search of the scientific literature was conducted across three major databases (PubMed, Embase, Cochrane, Google Scholar) up to April 2025. The study was registered in PROSPERO (CRD420251027155) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were selected based on inclusion of robotic training programs related to abdominal wall surgery.ResultsOut of 3,038 records identified, 8 studies were included. The overall methodological quality was acceptable, with all studies showing moderate risk of bias. Training models varied and included virtual reality simulation (n = 4), inanimate models (n = 3), porcine models (n = 2), and intraoperative training (n = 4). Three studies described integrated, proficiency-based curricula. Skill acquisition was reported using validated tools such as GEARS, OSATS, or the Zwisch scale in only two studies. Reported costs ranged from €40 for silicone models to €600 for porcine models; one study demonstrated $1,207 in cost savings per case post-training.ConclusionCurrent training models for robotic-assisted abdominal wall surgery are heterogeneous in design, assessment methods, and cost. While integrated curricula show promise, few studies employ validated tools to evaluate skill acquisition. Further high-quality research is needed to standardize training approaches and assess their cost-effectiveness.https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.15190/fullrobotic-assisted surgeryabdominal wall surgeryproficiency-based trainingsurgical trainingstructured curricula |
| spellingShingle | Francesco Brucchi Francesco Brucchi Francesco Brucchi Annabelle De Troyer Alice Gori Alice Gori Gianlorenzo Dionigi Gianlorenzo Dionigi Eva Vanderstraeten Alexander Mottrie Isabelle Van Herzeele Isabelle Van Herzeele Niki Rashidian Niki Rashidian Filip Muysoms Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs Journal of Abdominal Wall Surgery robotic-assisted surgery abdominal wall surgery proficiency-based training surgical training structured curricula |
| title | Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs |
| title_full | Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs |
| title_fullStr | Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs |
| title_full_unstemmed | Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs |
| title_short | Structured Training in Robotic Abdominal Wall Surgery: A Systematic Review of Educational Models, Methodologies, Existing Gaps and Unmet Needs |
| title_sort | structured training in robotic abdominal wall surgery a systematic review of educational models methodologies existing gaps and unmet needs |
| topic | robotic-assisted surgery abdominal wall surgery proficiency-based training surgical training structured curricula |
| url | https://www.frontierspartnerships.org/articles/10.3389/jaws.2025.15190/full |
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