Vivantes Healthcare Group Berlin Humboldt-Hospital Department of Surgery - Center of Robotic and Minimal Invasive Surgery Dr. Dipl.oec. C.M. Krüger, MBA, FACS Head Physician
Vivantes Healthcare Group Berlin Humboldt-Hospital RSEP Robotik (DaVinci ) Surgery Education Programm Dr. Dipl.oec. C.M. Krüger, MBA Head Physician
Education in Surgery (surgical practice) Training in open surgery Hand to hand education (father to son principle) Training over years Training is individual and depends on the expertise of the trainer Training in Minimal invasive Surgery (MIS) Hand to hand education Pelvitrainer training Not standarised Not comparable to reality Time consuming Not procedure related
Introduction DaVinci system
Development of the DaVinci System Common Laparoscopy Da Vinci End of compromises in MIS Start with arm No. 4 (2003) Simple instruments Da Vinci S 3-D-HD-View (720p) Additional optical information Multi quadrant access Optimized OP-configuration Indication related and electosurgical instruments available Da Vinci Si Dual console option Improved HD-view (1080i) Better console ergonomy Better contol of the surgical field by the surgeon Improved instruments
Introduction robotic (2000 2016) Second generation 2003 4 arms
Introduction robotic (2000 2016) Latest generation 2014 DaVinci Xi
Scope of work on MIS and DaVinci surgery Upper gastrointestinal surgery Gastic-, Oesophageal cancer Pancreatic cancer, chronic Pancratitis Colorectal surgery Diverticulitis disease Colorectal cancer surgery Endocrine surgery Adrenal gland surgery Functional gastric/oesophageal disease Achalasia disease Diaphragm hernia repair Gastrooesophageal reflux surgery Nissen fundoplicatio Oesophageal stimmulator treatment (GERD Disease)
Intuitive Training Center for GI Surgery Since 2016 Official case oberservation center for Gastric and Esophageal Surgery for Intuitive Surgery for Northern Germany Traning center for Dual Console Robotic Surgery Training Member of the European Robotic Esophageal Cancer Group On side proctoring for upcomming robotic surgical units for upper GI surgery on behalf of Intuitive Surgery, Inc.
RSEP - Da Vinci Skill Simulator 3 dimensional simulation in virtual reality 30 surgical parameter reporting Simulation 3D virtual reality training suturing hand foot coordination 2-/ 3- arm handling cutting / sealing increasing of efficiency shortening of procedure time
RSEP Dual Console Training Dual console training Trainig for new console surgeons Active proctoring Interdisciplinary training Shortening of the learning curve Modular procedure training
RSEP Robotik (DaVinci ) Surgery Education Programm Modular education - step by step procedure training (preparation / resection / reconstruction) 1. Virtual reality 3D training at simulator (Video analysis) 2. Pre-clinical real case animal training (optional) 3. Visiting and watching by Dual Console Tecnology 4. Taking over single instruments under instruction (Video analysis) 5. Taking over full steps of surgical procedure under instruction 6. Taking over full procedure under supervision by proctor
RSEP at Center of Robotic and MIS Structured surgical training and internship for Minimal inavsive surgery Robotic assisted surgery (DaVinci Surgery) extra topics Pre-clinical education (skill lab / wet lab) Animal lab facility training (partner) Inhouse simulator training (DaVinci ) on side proctoring / on side team training Anaesthesiology training for Robotik Surgery
Example for Service Package A. 6 days one surgeon 1 day theoretical / lecture training 2 days preclinical training (wet/animal lab) 1 day Robotic DaVinci Si Simulator training 1 day case observation 1 day case assistance at Dual Console B. 6 days on surgeon, first assist, scrub nurse 1 day theoretical / lecture training 2 days preclinical training (wet/animal lab) 1 day Procedure Training 1 day case observation 1 day case assistance at each psoition
Example for Service Package C. 6 days Procedure Team Training Surgeon, First Assist, Scrub Nurse, Anaesthesiologist 2 day theoretical / lecture training 2 days preclinical training (wet/animal lab) 1 day case observation 1 day case assistance at each position Procedure related handout Possible Procedures Gastric Surgery Oesophageal Surgery Pancreatic Surgery Colorectal Surgery Endocrine Surgery
Da Vinci System
Vivantes Healthcare Group Berlin Humboldt-Hospital RSEP Robotik (DaVinci ) Surgery Education Programm Dr. Dipl.oec. C.M. Krüger, MBA Head Physician