The second structured skills training programme in Robotic radical prostatectomy was successfully conducted at Medanta- TheMedicity, Gurugram, Delhi NCR, India between December 4th to 8th, 2017. The course was chaired by Dr NP Gupta and Drs Rajiv Yadav and Manav Suryavanshi served as course Directors. Hands-on training was given to five Urologists, from different cities in India – one each from Bhubaneswar and Indore and three from Delhi NCR.
The programme included didactic lectures spread over 10 hours and covering the entire spectrum of topics from basics of robotic surgery, applied surgical anatomy of prostate, step-wise robotic radical prostatectomy to management of post-operative complications and functional and oncological outcomes. A focussed video session demonstrated step-wise robotic radical prostatectomy, and others on challenging situations like previous abdominal surgery, obese patients, large size median lobe and post prostate surgery, salvage prostatectomy and complications. A robotic radical prostatectomy being performed by Dr Vipul Patel was web cast live from the University Of Central Florida College Of Medicine, Orlando, Florida, USA. All members could interact on a one-to-one basis with the world-renowned robotic prostatectomy expert.
Trainees were given an overview of the robotic system, operating room set up and docking. This was followed by dry lab training and technical skills based training on simulator of 10 hours each. Two surgeries were demonstrated live on a dual console robotic system, exercising the see-and-repeat model of instructions between the mentoring surgeon and trainee.
The highlight of the course was wet-lab training spread over a period of six hours. Each participant individually simulated urethro-vesical anastomosis on a porcine uterus and aorta model. The session was widely appreciated as a vital tool in learning hands-on skills and developing confidence with the use of robot in a clinical setting.