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

PMCID: PMC12174173

PMID: 40526352

DOI: 10.1007/s11701-025-02490-3

Journal: Journal of robotic surgery

Publication Date: 2025-6-17

Authors: Wieker H, Brandenburg N, Spille D, Wagner J, Weitkamp JT, et al.

Key Points

• Young medical professionals can effectively operate both microscope and robotic microsurgical systems without prior specialized training
• 95% of participants found the robotic system more precise, indicating high potential for advanced microsurgical procedures
• Extensive training and simulation are critical before transitioning robotic skills to human surgical interventions

Summary

This study evaluated the performance of young medical professionals using a surgical microscope versus a microsurgery robot (Symani) in performing delicate surgical tasks. Forty students aged 24 years on average completed three microsurgical exercises: needle grasping/placement, threading, and surgical knot tying. The research aimed to assess the feasibility and potential of robotic microsurgical technologies in medical training.

The results revealed nuanced performance differences between traditional microscope and robotic systems. While the microscope demonstrated significantly shorter operating times for needle manipulation (p = 0.003) and suturing (p < 0.001), students overwhelmingly perceived the robotic system as more precise (95%) and ergonomically comfortable (90%). Notably, 77.5% of participants preferred the Symani system for potential clinical use, suggesting strong interest in emerging surgical technologies.