Johnson, Hope L, MSN, RN, CNOR

Labib, David

Langston, Kyle M, PA-C

Leader, Brian

Martino, Martin A, MD

Miller, James, CRNA

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationRobotics on the Rise: Expansion of MinimallyInvasive Robotic Surgery and Implementation of aStandardized Training Curriculum Across MultipleCampuses.David LabibCornell UniversityKyle M. Langston PA-CLehigh Valley Health Network, Kyle_M.Langston@lvhn.orgHope L. Johnson MSN, RN, CNORLehigh Valley Health Network, Hope_L.Johnson@lvhn.orgJames Miller CRNALehigh Valley Health Network, James.Miller@lvhn.orgBrian LeaderLehigh Valley Health Network, Brian.Leader@lvhn.orgSee next page for additional authorsFollow this and additional works at: http://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtLabib, D., Langston, K., Johnson, H., Miller, J., Leader, B., Martino, M., (2017, July, 31) Robotics on the Rise: Expansion of MinimallyInvasive Robotic Surgery and Implementation of a Standardized Training Curriculum Across Multiple Campuses. Poster presented at:LVHN Research Scholar Program Poster Session, Lehigh Valley Health Network, Allentown, PA.AuthorsDavid Labib; Kyle M. Langston PA-C; Hope L. Johnson MSN, RN, CNOR; James Miller CRNA; BrianLeader; and Martin A. Martino MDThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/research-scholars-posters/513© 2017 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaRobotics on the Rise: Expansion of Minimally Invasive Robotic Surgery and Implementation of a Standardized Training Curriculum Across Multiple CampusesREFERENCES1. Al-Mazrou, A., Chiuzan, C., Kiran, R. (2017). The robotic approach significantly reduces length of stay after colectomy: a propensity score-matched analysis. International Journal of Colorectal Disease, 32(233): 1-7.2. Lanfranco, A., Castellanos, A., et al (2004). Robotic Surgery: A current perspective. Annals of Surgery, 239(1): 14-21.3. Cui, GY., Tian, W., et al (2017). Effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion and traditional open surgery in the treatment of lumbar spondylolisthesis. Zhong Wai Ke Za Zhi, 55(7): 543-48.4. Iraniha, A. and Peloquin, J. (2017). Long-term quality of life and outcomes following robotic assisted TAPP inguinal hernia repair. Journal of Robotic Surgery, 1:1-9. Maintaining Quality• Rigorous and standardized training curriculum set by Medical Staff Services and robotic leadership to ensure quality with increasing case volumes• C-SATS and B-Line SimCapture recording systems introduced to develop benchmarks and provide objective feedback for performance improvement• Simulation of surgical skills required for annual credentialing (dv-trainer/backpack)Minimizing Cost• With improved outcomes, shorter recovery time, decreased length of hospitalization, and reduced complications, cost of a patient’s entire treatment is minimized which benefits both the hospital and the patient• Several studies have yielded that robotic surgery renders shorter hospitalization, less intraoperative bleeding, faster recovery, and fewer complications3,4 • Improved technologies (Firefly)• LVHN to serve as the leading center of robotic surgeryBy: David Labib, Kyle Langston PA-C, Hope Johnson RN, James Miller CRNA, Brian Leader, and Martin Martino MDINTRODUCTIONMETHODOLOGYRESULTS DISCUSSIONCONCLUSION/FUTURE DIRECTIONIntuitive Surgical, Inc. Credentialing Pathway• Robotic Surgery began at Lehigh Valley Health Network in 2008 with the purchase of the da Vinci® Surgical System and has since expanded to three systems in 2012 and a planned eight systems by September 2017.• With the acquisition of three new systems and expansion of LVHN as a whole, the robotics program can now exceed the current case volumes, with over 10,000 cases to date, utilizing a standardized training curriculum to train staff and clinicians• Benefits of robotic surgery include enhanced three-dimensional visualization and improved dexterity, which leads to smaller incisions, less pain, and faster recovery 1,2Phase I: Didactic LearningPhase II: Psycho-motor Skill TrainingRobotic Training Network (RTN): LVHN Credentialing PathwayFigure 2. Yearly case volumes separated by specialtyReproduced with permission of Intuitive Surgical, Inc. All rights reserved. Figure 1. Heat map of robotic case volumes across the Northeast2017 20222005

Robotics on the Rise: Expansion of Minimally Invasive Robotic Surgery and Implementation of a Standardized Training Curriculum Across Multiple Campuses.

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Robotics on the Rise: Expansion of Minimally Invasive Robotic Surgery and Implementation of a Standardized Training Curriculum Across Multiple Campuses.

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Lehigh Valley Health Network: LVHN Scholarly Works