Improving Surgeon Performance Measures for Robot-Assisted Surgery

Study Overview
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Brief Summary
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The purpose of this study is to develop new tools to understand surgeon performance to improve surgical training and participant outcomes after surgery.

Official Title
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Generalized Robotic Skills Assessment Using Machine Learning-Based Analysis Across Multiple Surgical Specialties

Conditions
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Surgery

Intervention / Treatment
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* Procedure: Robotic Surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Surgeon inclusion criteria: Performs robotic surgery for candidate procedures Performs candidate procedures that are frequently performed by at least three surgeons (to ensure the ability to make adequate comparisons) Agrees to participate in the study Patient inclusion criteria: Aged 18 years or older Scheduled to undergo a robot-assisted surgical procedure involving the prostate, kidney, bladder, colon, pancreas, gallbladder, stomach, uterus, or lung Exclusion Criteria: Patient exclusion criteria: Scheduled to undergo multiple panel procedures Scheduled to undergo hybrid procedures involving open and robot-assisted techniques o Hybrid procedures will involve multiple surgeons from different subspecialties, include certain rare steps, and require the surgeons' improvisation to complete such procedures safely; to avoid data heterogeneity, we have elected to exclude such procedures Refusal to consent to data capture during the procedure

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Robotic surgeons<br>Participants will be robotic surgeons in urologic, gynecologic, colorectal, hepatobiliary, gastric, and thoracic surgery | Procedure: Robotic Surgery<br>* Surgeons will perform and participants will undergo robotic surgery according to the standard of care. No additional interventions will be performed on participating participants.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlation of Automated Performance Metrics to surgeon experience | For the primary objective, we will capture Automated Performance Metrics/APMs and will determine the association between these and other metrics and surgeon experience, which will be used to construct validation. APMs that will be used in the study: Time Metrics Camera Metrics Instrument Metrics System Metrics Articulation Metrics | Up to 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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colon surgery, pancreas surgery, gallbladder surgery, stomach surgery, uterus surgery, lung surgery, Memorial Sloan Kettering Cancer Center, 23-094, Robot assisted surgical procedure, robotic surgery, prostate surgery, kidney surgery, bladder surgery