Learning curve of surgical novices using the single-port platform SymphonX: minimizing OR trauma to only one 15-mm incis
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and Other Interventional Techniques
2020 EAES ORAL
Learning curve of surgical novices using the single‑port platform SymphonX: minimizing OR trauma to only one 15‑mm incision Rabi R. Datta1 · Sebastian Schönhage1 · Thomas Dratsch1 · Justus Toader1 · Dolores T. Müller1 · Roger Wahba1 · Robert Kleinert1 · Michael Thomas1 · Georg Dieplinger1 · Dirk L. Stippel1 · Christiane J. Bruns1 · Hans F. Fuchs1 Received: 17 May 2020 / Accepted: 14 September 2020 © The Author(s) 2020
Abstract Background Minimally invasive single-port surgery is always associated with large incisions up to 2–3 cm, complicated handling due to the lack of triangulation, and instrument crossing. The aim of this prospective study was to report how medical students without any laparoscopic experience perform several laparoscopic tasks (rope pass, paper cut, peg transfer, recapping, and needle threading) with the new SymphonX single-port platform and to examine the learning curves in comparison to the laparoscopic multi-port technique. Methods A set of 5 laparoscopic skill tests (Rope Pass, Paper cut, Peg Transfer, Recapping, Needle Thread) were performed with 3 repetitions. Medical students performed all tests with both standard laparoscopic instruments and the new platform. Time and errors were recorded. Results A total of 114 medical students (61 females) with a median age of 23 years completed the study. All subjects were able to perform the skill tests with both standard laparoscopic multi-port and the single-port laparoscopic system and were able to significantly improve their performance over the three trials for all five tasks—rope pass (p
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