Simulation and comparison of objectively graded microsurgery steps by using a microscope and Symani robotic system by young professionals

Abstract

The aim of the current study was to compare the accuracy of objectively graded microsurgery steps by young professionals using a microscope and a microsurgery robot. 40 students performed three exercises with a dental surgical operating microscope and a microsurgery robot. The exercises consisted of grasping and placing a needle, threading the needle, and performing a surgical knot. All students successfully completed the exercises with the microscope and the Symani. The microscope demonstrated significantly shorter operating times for grasping and placing a needle (p = 0.003) and for a single-button suture of an anastomosis (p < 0.001). Gaming, sewing, or knitting had a significant advantage for both the microscope and the Symani for grasping and placing a needle (p < 0.001). Young professionals appear to be able to work adequately with both the microscope and the robot in the surgical model for anastomoses. The students demonstrated a strong interest in adopting robotic technologies, which is why implementing robotics in the clinics' teaching process is necessary. This could inspire the next generation of medical professionals for robotic surgery and microsurgery, as well as support their career path.