Test2 - Skill 2 – Operative set-up
https://xi-robotic.academy.advancesinsurgery.com/show-forms/test2-skill-2-operative-set-upTest2
1. Regional anesthesia includes all of the following except:
Transversus abdominal plane block
Single shot spinal anesthesia
Epidural anesthesia
Multimodal pain management
2. The ideal patient position for robotic right colon resection is supine, arms tuck?
true
false
Order: 3
Test3 - Skill 3 – Port placement and docking
https://xi-robotic.academy.advancesinsurgery.com/show-forms/test3-skill-3-port-placement-and-dockingTest3
1. Linear port placement is absolutely mandatory when using the Xi robot?
true
false
2. Once the ports are placed, how long does it typically take for an experienced team to dock the robot, position the robot and place the instruments?
30 to 40 minutes
5 to 10 minutes
About an hour
Order: 4
Test4 - Skill 4 – Procedural steps
https://xi-robotic.academy.advancesinsurgery.com/show-forms/test4-skill-4-procedural-stepsTest4
1. The preferred approach for robotic right colon resection is:
Lateral to medial approach
Bottoms up approach
Medial to lateral approach
None of the above
2. Intestinal vascular perfusion assessment is:
Unnecessary when doing a right colon resection
Is done to protect oneself from lawsuits
Will show a lack of or poor perfusion in a small percentage of patients
Is only done in inflammatory bowel disease
Order: 4
Test5 - Skill 5 – Intracorporeal Anastomosis
https://xi-robotic.academy.advancesinsurgery.com/show-forms/test5-skill-5-intracorporeal-anastomosisTest5
1. Compared to extracorporeal anastomosis, intracorporeal anastomosis is associated with?
Decreased post operative pain
Decreased length of stay
Decreased leak rate
All of the above
2. Closure of the common enterotomy is best accomplished by?
Suture technique, 2 layer
Stapleing technique
Both a & b
Neither a or b
Order: 4
Test6 - Skill 6 – Specimen retrieval and closure
https://xi-robotic.academy.advancesinsurgery.com/show-forms/test6-skill-6-specimen-retrieval-and-closureTest6
1. Which extraction incision has the lowest hernia rate?
Lateral to the rectus muscle
Pfannenstiel incision
Midline incision
Paramedian incision
2. Which abdominal layers should be separately closed when closing a pfannenstiel incision?
Skin
Peritoneum
Fascia
All of the above
Order: 5
Post-test - Conclusions and postest
https://xi-robotic.academy.advancesinsurgery.com/show-forms/post-test-conclusions-and-postestPost-test
1. Robotic right colon resection rates of MIS for all comers requiring right colon resection can be as high as?
0.35
0.53
0.73
0.95
2. Intracorporeal anastomosis allows all of the following except?
Decreased incisional hernia rates
Increased chance of a volvulus of the anastomosis
Decreased stretch of the mesentery
Decreased use of post op narcotics
3. The mesenteric defect left with Intracorporeal anastomosis should be closed?
TRUE
FALSE
4. In what situation is targeting mandatory in docking the Xi robot?
When using the off-screen indicators while passing instruments
When planning on doing blood flow assessment
When using the suprapubic port placement
When using integrated table motion
5. The Xi robot is designed for multi quadrant access when the ports are placed in this Fashion?
non-linear
linear
staggered
in an inverted “W”
6. Intracorporeal anastomosis is commonly performed in what setting?
Laparoscopic right colon resection
Robotic right colon resection
Equally in both laparoscopic and robotic right colon resection
Neither laparoscopic or robotic right colon resection
7. The best possible outcomes in patients having right colon resection occur in what Setting?
Robotic surgery with a system wide ERAS
Laparoscopic surgery with a system wide ERAS
Laparoscopic surgery with selective ERAS
Robotic surgery with selective ERAS
8. Robotic technical advances allow for?
Nearly 100% MIS rate in patients requiring right colon resection
A reproducible Intracorporeal anastomosis in all patients
A decreased incisional hernia rate
All of the above
9. Intracorporeal anastomotic rates in laparoscopic surgery are?
1
0.75
0.33
0.03
10. Conversion rates in robotic right colon resection are?
0.166
0.12
0.08
0.03
Order: 2
Pre-test - Introduction
https://xi-robotic.academy.advancesinsurgery.com/show-forms/pre-test-introductionPre-test
1. What is the recommended distance between ports for the Xi Robot?
5 cm
6 cm
8 cm
10 cm
2. Robotic Right colon resection with intracorporeal anastomosis is indicated in which of the following situations?
A 60 year old, BMI 60
A 33 year old woman with recurrent Crohn’s at the previous ileocolic anastomosis
A 60 year old man with a 3 cm Adenocarcinoma of the ascending colon. BMI 29,. Has not had any previous abdominal surgery
All of the above
3. Where is the most ideal place to park the robot at the patient bedside?
At the patients feet
At the patients head
The same side as the planned resection, in a location where no bedside assistant will be standing
At the opposite side of the pathology
4. A recent retrospective study has shown a significant decrease in anastomotic leak rates comparing Intracorporeal anastomosis compared to extracorporeal anastomosis.
true
false
5. Hernia rates are highest in which Extraction site incision.
Lateral to the rectus muscle.
Midline
Pfanennsteil
All of the above
6. The most commonly done anastomosis in laparoscopic surgery is?
Intracorporeal anastomosis
Extracorporeal anastomosis
7. Under what circumstances would the Xi boom be rotated 180 degrees?
The surgical work volume extends to greater than two quadrants
“Flexing” toward the operative field is not adequate enough
Lowering the patient clearance joint is not adequate
All of the above
8. Targeting aligns the boom over the surgical workspace to:
Ensure that all of the arms can dock to the ports
Orient the arms toward the target anatomy
Allow the arm joints to be in the “sweet spot” for maximum range of motion
Maintain sterility with undraped boom
All of the above
9. What is the most reliable way to determine adequate blood flow to the proposed anastomosis?
Appreciating pulsatile blood flow in the mesenteric vasculature
Assessment with ICG
The bowel appears “pink and well vascularized”
None of the above
10. At what area does Intuitive Surgical recommend “Targeting” for a right colon resection?
The pathology in the colon
The center of the surgical workspace
The hepatic flexure
The appendix
Order: 3
Test1 - Skill 1 – Patient preparation
https://xi-robotic.academy.advancesinsurgery.com/show-forms/test1-skill-1-patient-preparationTest 1
1. Despite 25 years of utilizing laparoscopic technology, what is the highest MIS rate achieved thus far for all patients having a right colon resection?
0.32
0.53
0.73
0.94
2. Mechanical bowel preparation alone has shown a decrease in SSI?
true
false
Order: 2