{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T23:40:18Z","timestamp":1792539618445,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Objective data quantifying the trend of the robotic-assisted learning process remains limited. The aim of this study is to evaluate the efficiency and progression of surgical skill acquisition during robotic-assisted pyeloplasty by comparing performance parameters between expert and non-expert surgeons using a dual-console system over a 3-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 25 robotic-assisted pyeloplasties were retrospectively analyzed; all were performed by a\n                      <jats:italic toggle=\"yes\">Da Vinci Xi<\/jats:italic>\n                      robotic platform equipped with dual operative consoles, operated simultaneously by a robotic expert (C1) and a non-expert surgeon (C2). The procedures were divided into five standardized phases. Surgical performance was assessed using\n                      <jats:italic toggle=\"yes\">\n                        Tracker\n                        <jats:sup>\u00ae<\/jats:sup>\n                      <\/jats:italic>\n                      motion analysis software, which measured operative times, console utilization, instrument collisions, and motion efficiency. Trends across years were assessed using one-way analysis of variance (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 25 cases were analyzed. The total operative time decreased significantly from 210 minutes in year 1 to 185 minutes in year 3 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .008). The expert surgeon\u2019s console time ratio decreased from 90.0% in year 1 to 14.5% in year 3 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), with a corresponding increase in non-expert surgeon\u2019s console time. A significant reduction in the number of instrument collisions (from 1457 in year 1 to 97 in year 3,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and a marked increase in motion efficiency (from 14% to 88%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) were observed for the non-expert surgeon. Phase-specific analysis revealed a steady improvement in the non-expert surgeon\u2019s performance across all phases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Robotic-assisted pyeloplasty significantly accelerates skill acquisition for non-expert surgeons, as evidenced by improvements in operative time, instrument collisions, and motion efficiency. The dual-console approach provides a valuable educational framework, facilitating real-time supervision and progressive task delegation. These findings support integrating dual-console systems and objective motion analysis into structured robotic training programs to enhance surgical proficiency and safety in pediatric surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261466991","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:22:27Z","timestamp":1783477347000},"page":"926-930","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Robotic Surgery: From Observation to Autonomy in a Motion-Based Assessment of Learning Curve Using a Dual-Console System"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9896-3942","authenticated-orcid":false,"given":"Vincenzo","family":"Coppola","sequence":"first","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3760-1714","authenticated-orcid":false,"given":"Claudia","family":"Di Mento","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Carraturo","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Sofia","family":"Carac\u00f2","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Esposito","sequence":"additional","affiliation":[{"name":"CEINGE Advanced Biotechnology Center, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Tedesco","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvia","family":"Del Conte","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Escolino","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Translational Medical Sciences, University of Naples Federico II, Naples, 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