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Peer-reviewedCC BY-NC-NDJournal of robotic surgery

Assist team self-efficacy, training needs, and operative outcomes in single-port robotic hepatopancreatobiliary surgery: a mixed-methods study to inform protocol development.

  • Yeon Su Kim1
  • Haelim Kim2
  • Yeon Hee Bong2
  • Jin Hong Lim1
  • Hyung Sun Kim3
  1. 1Division of Hepato-Biliary-Pancreas Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea.
  2. 2Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
  3. 3Division of Hepato-Biliary-Pancreas Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea. [email protected].
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Abstract

Single-port (SP) robotic surgery imposes unique spatial and technical constraints on bedside assistance personnel; however, structured training protocols for hepatopancreatobiliary (HPB) procedures are lacking. A cross-sectional survey using a 7-item Likert self-efficacy instrument was administered to 11 operating room nurses and 19 physician assistants (PAs). Free-text responses were subjected to inductive thematic analysis. Retrospective data from 92 SP robotic HPB cases performed between august 2024 and July 2025 were analyzed. PAs were grouped according to seniority into Group 1 (≥ 5 years) and Group 2 (< 5 years). A cross-sectional survey using a 7-item Likert self-efficacy instrument was administered to 11 operating room nurses and 19 physician assistants (PAs). Free-text responses were subjected to inductive thematic analysis. Retrospective data from 92 SP robotic HPB cases performed between august 2024 and July 2025 were analyzed. PAs were grouped according to seniority into Group 1 (≥ 5 years) and Group 2 (< 5 years). Emergency response and instrument exchange were identified as key areas requiring training. A structured, six-module SP robotic HPB-assist training curriculum was proposed.

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Cite

BibTeXRIS
BibTeX
@article{kim2026assist,
  title = {{Assist team self-efficacy, training needs, and operative outcomes in single-port robotic hepatopancreatobiliary surgery: a mixed-methods study to inform protocol development.}},
  author = {Yeon Su Kim and Haelim Kim and Yeon Hee Bong and Jin Hong Lim and Hyung Sun Kim},
  journal = {Journal of robotic surgery},
  year = {2026},
  month = oct,
  doi = {10.1007/s11701-026-04079-w},
  url = {https://europepmc.org/article/MED/42900338},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Assist team self-efficacy, training needs, and operative outcomes in single-port robotic hepatopancreatobiliary surgery: a mixed-methods study to inform protocol development.
AU  - Yeon Su Kim
AU  - Haelim Kim
AU  - Yeon Hee Bong
AU  - Jin Hong Lim
AU  - Hyung Sun Kim
PY  - 2026
DA  - 2026/10/20
JO  - Journal of robotic surgery
DO  - 10.1007/s11701-026-04079-w
UR  - https://europepmc.org/article/MED/42900338
AB  - Single-port (SP) robotic surgery imposes unique spatial and technical constraints on bedside assistance personnel; however, structured training protocols for hepatopancreatobiliary (HPB) procedures are lacking. A cross-sectional survey using a 7-item Likert self-efficacy instrument was administered to 11 operating room nurses and 19 physician assistants (PAs). Free-text responses were subjected to inductive thematic analysis. Retrospective data from 92 SP robotic HPB cases performed between august 2024 and July 2025 were analyzed. PAs were grouped according to seniority into Group 1 (≥ 5 years) and Group 2 (< 5 years). A cross-sectional survey using a 7-item Likert self-efficacy instrument was administered to 11 operating room nurses and 19 physician assistants (PAs). Free-text responses were subjected to inductive thematic analysis. Retrospective data from 92 SP robotic HPB cases performed between august 2024 and July 2025 were analyzed. PAs were grouped according to seniority into Group 1 (≥ 5 years) and Group 2 (< 5 years). Emergency response and instrument exchange were identified as key areas requiring training. A structured, six-module SP robotic HPB-assist training curriculum was proposed.
SN  - 1863-2483
SN  - 1863-2491
ER  -