ロボット支援下手術に必要なノンテクニカルスキルと３つの工夫

抄録

Objective: This study identifies the non-technical skills required for robotic surgery and presents improvement efforts.

Methods: We analyzed 45 robotic surgeries performed with the Da Vinci Xi between January 1 and August 30, 2024. Surgical videos with recorded conversations between surgeons and assistants were analyzed to identify situations requiring non-technical skills and to determine the associated skills.

Result: Fifteen situations requiring non-technical skills were identified. These situations were categorized into five groups: surgeon-assistant collaboration, unexpected events, situations unknown to the surgeon, scenarios in which the surgeon is absent, and environmental factors. Related non-technical skills were identified as communication, leadership, situational awareness, decision-making, and stress.

Conclusion: Communication and situational awareness emerged as particularly critical non-technical skills in robotic surgery. Our three key innovations include recording surgical videos with conversations, employing the Tile Pro function, and conducting simulation training for emergency scenarios.