{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:10:12Z","timestamp":1791976212914,"version":"4.4.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009594","name":"University of P\u00e9cs","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009594","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Our study investigates the potential correlation between generational differences, like age and previous experience with digital innovations, such as video games and smartphones, and the performance on the Da Vinci Skills Simulator, the cornerstone of robotic surgery training. Thirty participants were involved from three age groups: Generation Alpha, Generation Z, and Generation X. None had prior robotic surgical experience. Participants performed the Wrist Articulation 1 task on the Da Vinci Skills Simulator after two practice rounds. Analysis of performance metrics and statistical tests were conducted to assess the differences between groups. Additionally, participants had completed a survey on their habits related to video gaming, smartphone, and computer usage. A trend was observed where performance declined with age, meaning that Generation Alpha performed the most successfully compared to the other generations, although the difference was not statistically significant (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.51). However, significant differences were found in Glass Movement (GM) by Generation Z showing superior precision, making less errors (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.019). The study found no correlation between simulator performance and early or frequent exposure to smartphones or video games. Interestingly, frequent two-thumb typing on smartphones correlated with better performance in the GM metric (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.006). Generation Z demonstrated greater precision in handling the simulator, reflecting that robotic surgery training might be best to be started at the beginning of residency programs. Young doctors using two-thumb typing develop robotic surgery skills faster. Further studies are needed to determine whether this quicker learning would also lead to better skills later on.\n                  <\/jats:p>","DOI":"10.1007\/s11701-024-02178-0","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T12:13:28Z","timestamp":1732882408000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["From gaming to surgery: the influence of digital natives on robotic skills development"],"prefix":"10.1007","volume":"19","author":[{"given":"Dominik Imre","family":"Szab\u00f3","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Vereczkei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Papp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"2178_CR1","doi-asserted-by":"publisher","first-page":"e1918911","DOI":"10.1001\/jamanetworkopen.2019.18911","volume":"25","author":"K Sheetz","year":"2020","unstructured":"Sheetz K, Claflin J, Dimick J (2020) Trends in the adoption of robotic surgery for common surgical procedures. JAMA Netw Open 25:e1918911. https:\/\/doi.org\/10.1001\/jamanetworkopen.2019.18911","journal-title":"JAMA Netw Open"},{"key":"2178_CR2","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s11701-024-01822-z","volume":"18","author":"T Yeung","year":"2024","unstructured":"Yeung T, Larkins K, Warrier S, Heriot A (2024) The rise of robotic colorectal surgery: better for patients and better for surgeons. J Robot Surg 18:69. https:\/\/doi.org\/10.1007\/s11701-024-01822-z","journal-title":"J Robot Surg"},{"key":"2178_CR3","doi-asserted-by":"publisher","first-page":"e284","DOI":"10.1097\/as9.0000000000000284","volume":"4","author":"A Shugaba","year":"2023","unstructured":"Shugaba A, Subar D, Slade K et al (2023) Surgical stress: the muscle and cognitive demands of robotic and laparoscopic surgery. Ann Surg Open 4:e284. https:\/\/doi.org\/10.1097\/as9.0000000000000284","journal-title":"Ann Surg Open"},{"key":"2178_CR4","doi-asserted-by":"publisher","first-page":"1520","DOI":"10.1007\/s11605-022-05319-8","volume":"26","author":"A Shugaba","year":"2022","unstructured":"Shugaba A, Lambert J, Bampouras T, Nuttall H, Gaffney C, Subar D (2022) Should all minimal access surgery be robot-assisted? a systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery. J Gastrointest Surg 26:1520\u20131530. https:\/\/doi.org\/10.1007\/s11605-022-05319-8","journal-title":"J Gastrointest Surg"},{"key":"2178_CR5","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s00464-019-06775-1","volume":"34","author":"R Chen","year":"2020","unstructured":"Chen R, Rodrigues Armijo P, Krause C, Siu K, Oleynikov D (2020) A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education. Surg Endosc 34:361\u2013367. https:\/\/doi.org\/10.1007\/s00464-019-06775-1","journal-title":"Surg Endosc"},{"key":"2178_CR6","doi-asserted-by":"publisher","first-page":"e201700081","DOI":"10.4293\/JSLS.2017.00081","volume":"22","author":"A Hertz","year":"2018","unstructured":"Hertz A, George E, Vaccaro C, Brand T (2018) Head-to-head comparison of three virtual-reality robotic surgery simulators. JSLS 22:e201700081. https:\/\/doi.org\/10.4293\/JSLS.2017.00081","journal-title":"JSLS"},{"key":"2178_CR7","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1111\/bju.13511","volume":"118","author":"M Aghazadeh","year":"2016","unstructured":"Aghazadeh M, Mercado M, Pan M, Miles B, Goh A (2016) Performance of robotic simulated skills tasks is positively associated with clinical robotic surgical performance. BJU Int 118:475\u2013481. https:\/\/doi.org\/10.1111\/bju.13511","journal-title":"BJU Int"},{"key":"2178_CR8","doi-asserted-by":"publisher","first-page":"zraa066","DOI":"10.1093\/bjsopen\/zraa066","volume":"5","author":"M Schmidt","year":"2021","unstructured":"Schmidt M, K\u00f6ppinger K, Fan C et al (2021) Virtual reality simulation in robot-assisted surgery: meta-analysis of skill transfer and predictability of skill. BJS Open 5:zraa066. https:\/\/doi.org\/10.1093\/bjsopen\/zraa066","journal-title":"BJS Open"},{"key":"2178_CR9","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1002\/rcs.264","volume":"5","author":"M Hagen","year":"2009","unstructured":"Hagen M, Wagner O, Inan I, Morel P (2009) Impact of IQ, computer-gaming skills, general dexterity, and laparoscopic experience on performance with the da Vinci \u00ae surgical system. Int J Med Robot Comput Assist Surg 5:327\u2013331. https:\/\/doi.org\/10.1002\/rcs.264","journal-title":"Int J Med Robot Comput Assist Surg"},{"key":"2178_CR10","doi-asserted-by":"publisher","first-page":"2683","DOI":"10.1007\/s00464-017-5963-5","volume":"32","author":"D Davila","year":"2018","unstructured":"Davila D, Helm M, Frelich M, Gould J, Goldblatt M (2018) Robotic skills can be aided by laparoscopic training. Surg Endosc 32:2683\u20132688. https:\/\/doi.org\/10.1007\/s00464-017-5963-5","journal-title":"Surg Endosc"},{"key":"2178_CR11","doi-asserted-by":"publisher","first-page":"1830","DOI":"10.1007\/s00464-013-3393-6","volume":"28","author":"A Moglia","year":"2014","unstructured":"Moglia A, Ferrari V, Morelli L et al (2014) Distribution of innate ability for surgery amongst medical students assessed by an advanced virtual reality surgical simulator. Surg Endosc 28:1830\u20131837. https:\/\/doi.org\/10.1007\/s00464-013-3393-6","journal-title":"Surg Endosc"},{"key":"2178_CR12","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s11701-016-0616-6","volume":"10","author":"M Meier","year":"2016","unstructured":"Meier M, Horton K, John H (2016) Da Vinci\u00a9 Skills Simulator\u2122: is an early selection of talented console surgeons possible? J Robot Surg 10:289\u2013296. https:\/\/doi.org\/10.1007\/s11701-016-0616-6","journal-title":"J Robot Surg"},{"key":"2178_CR13","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1038\/35096636","volume":"413","author":"J Marescaux","year":"2001","unstructured":"Marescaux J, Leroy J, Gagner M et al (2001) Transatlantic robot-assisted telesurgery. Nature 413:379\u2013380. https:\/\/doi.org\/10.1038\/35096636","journal-title":"Nature"},{"key":"2178_CR14","unstructured":"\u201cIntuitive Surgical, Annual Report 2023.\u201d https:\/\/isrg.intuitive.com\/static-files\/e9ed7c14-f042-4923-b7cc-a1458e11e67b. Accessed 21 Sep 2024"},{"key":"2178_CR15","doi-asserted-by":"publisher","first-page":"2371","DOI":"10.1007\/s00464-024-10773-3","volume":"38","author":"J Choi","year":"2024","unstructured":"Choi J, Diab A, Tsay K et al (2024) The evidence behind robot-assisted abdominopelvic surgery: a meta-analysis of randomized controlled trials. Surg Endosc 38:2371\u20132382. https:\/\/doi.org\/10.1007\/s00464-024-10773-3","journal-title":"Surg Endosc"},{"key":"2178_CR16","doi-asserted-by":"publisher","first-page":"180","DOI":"10.3390\/cancers14010180","volume":"14","author":"K Safiejko","year":"2021","unstructured":"Safiejko K, Tarkowski R, Koselak M et al (2021) Robotic-assisted vs. standard laparoscopic surgery for rectal cancer resection: a systematic review and meta-analysis of 19,731 patients. Cancers (Basel) 14:180. https:\/\/doi.org\/10.3390\/cancers14010180","journal-title":"Cancers (Basel)"},{"key":"2178_CR17","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.ijsu.2020.07.053","volume":"82","author":"G Guerrini","year":"2020","unstructured":"Guerrini G, Esposito G, Magistri P et al (2020) Robotic versus laparoscopic gastrectomy for gastric cancer: The largest meta-analysis. Int J Surg 82:210\u2013228. https:\/\/doi.org\/10.1016\/j.ijsu.2020.07.053","journal-title":"Int J Surg"},{"key":"2178_CR18","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1007\/s11701-024-01846-5","volume":"18","author":"L Wang","year":"2024","unstructured":"Wang L, Zeng W, Wu Y, Gong Z (2024) Comparison of clinical efficacy and safety between robotic-assisted and laparoscopic adrenalectomy for pheochromocytoma: a systematic review and meta-analysis. J Robot Surg 18:115. https:\/\/doi.org\/10.1007\/s11701-024-01846-5","journal-title":"J Robot Surg"},{"key":"2178_CR19","doi-asserted-by":"publisher","first-page":"e48495","DOI":"10.7759\/cureus.48495","volume":"15","author":"K Ataya","year":"2023","unstructured":"Ataya K, Bsat A, Aljaafreh A, Bourji H, Al Ayoubi A, Hassan N (2023) Robot-assisted heller myotomy versus laparoscopic heller myotomy: a systematic review and meta-analysis. Cureus 15:e48495. https:\/\/doi.org\/10.7759\/cureus.48495","journal-title":"Cureus"},{"key":"2178_CR20","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1007\/s00464-020-08008-2","volume":"35","author":"I Ziogas","year":"2021","unstructured":"Ziogas I, Giannis D, Esagian S, Economopoulos K, Tohme S, Geller D (2021) Laparoscopic versus robotic major hepatectomy: a systematic review and meta-analysis. Surg Endosc 35:524\u2013535. https:\/\/doi.org\/10.1007\/s00464-020-08008-2","journal-title":"Surg Endosc"},{"key":"2178_CR21","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1016\/j.amjsurg.2018.11.006","volume":"217","author":"C Tom","year":"2019","unstructured":"Tom C, Maciel J, Korn A et al (2019) A survey of robotic surgery training curricula in general surgery residency programs: how close are we to a standardized curriculum? Am J Surg 217:256\u2013260. https:\/\/doi.org\/10.1016\/j.amjsurg.2018.11.006","journal-title":"Am J Surg"},{"key":"2178_CR22","doi-asserted-by":"publisher","first-page":"e2019 00045","DOI":"10.4293\/JSLS.2019.00045","volume":"23","author":"H Moit","year":"2019","unstructured":"Moit H, Dwyer A, De Sutter M, Heinzel S, Crawford D (2019) A standardized robotic training curriculum in a general surgery program. JSLS 23:e2019 00045. https:\/\/doi.org\/10.4293\/JSLS.2019.00045","journal-title":"JSLS"},{"key":"2178_CR23","doi-asserted-by":"publisher","first-page":"2833","DOI":"10.1007\/s00464-022-09788-5","volume":"37","author":"A Rahimi","year":"2023","unstructured":"Rahimi A, Ho K, Chang M et al (2023) A systematic review of robotic surgery curricula using a contemporary educational framework. Surg Endosc 37:2833\u20132841. https:\/\/doi.org\/10.1007\/s00464-022-09788-5","journal-title":"Surg Endosc"},{"key":"2178_CR24","doi-asserted-by":"publisher","first-page":"e0302648","DOI":"10.1371\/journal.pone.0302648","volume":"19","author":"M Fadel","year":"2024","unstructured":"Fadel M, Walshaw J, Pecchini F et al (2024) European Robotic Surgery Consensus (ERSC): Protocol for the development of a consensus in robotic training for gastrointestinal surgery trainees. PLoS ONE 19:e0302648. https:\/\/doi.org\/10.1371\/journal.pone.0302648","journal-title":"PLoS ONE"},{"key":"2178_CR25","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1111\/codi.16904","volume":"26","author":"S Tou","year":"2024","unstructured":"Tou S, Au S, Clancy C et al (2024) European Society of Coloproctology guideline on training in robotic colorectal surgery (2024). Colorectal Dis 26:776\u2013801. https:\/\/doi.org\/10.1111\/codi.16904","journal-title":"Colorectal Dis"},{"key":"2178_CR26","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1007\/s11701-016-0657-x","volume":"11","author":"A Harbin","year":"2017","unstructured":"Harbin A, Nadhan K, Mooney J et al (2017) Prior video game utilization is associated with improved performance on a robotic skills simulator. J Robot Surg 11:317\u2013324. https:\/\/doi.org\/10.1007\/s11701-016-0657-x","journal-title":"J Robot Surg"},{"key":"2178_CR27","doi-asserted-by":"publisher","first-page":"1435","DOI":"10.1007\/s11701-023-01540-y","volume":"17","author":"\u00d6 K\u0131l\u0131n\u00e7arslan","year":"2023","unstructured":"K\u0131l\u0131n\u00e7arslan \u00d6, T\u00fcrk Y, Varg\u00f6r A, \u00d6zdemir M, Hassoy H, Makay \u00d6 (2023) Video gaming improves robotic surgery simulator success: a multi-clinic study on robotic skills. J Robot Surg 17:1435\u20131442. https:\/\/doi.org\/10.1007\/s11701-023-01540-y","journal-title":"J Robot Surg"},{"key":"2178_CR28","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1089\/end.2007.9905","volume":"21","author":"J Harper","year":"2007","unstructured":"Harper J, Kaiser S, Ebrahimi K et al (2007) Prior video game exposure does not enhance robotic surgical performance. J Endourol 21:1207\u20131210. https:\/\/doi.org\/10.1089\/end.2007.9905","journal-title":"J Endourol"},{"key":"2178_CR29","unstructured":"\u201cIntuitive Surgical, Da Vinci 5. https:\/\/www.intuitive.com\/en-us\/products-and-services\/da-vinci\/5. Accessed 21 Sep 2024"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-024-02178-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-024-02178-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-024-02178-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T01:21:26Z","timestamp":1767489686000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-024-02178-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,29]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["2178"],"URL":"https:\/\/doi.org\/10.1007\/s11701-024-02178-0","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,29]]},"assertion":[{"value":"4 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all participants included in the study; in case of children, it was obtained from the legal guardian.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}],"article-number":"12"}}