Peer-Reviewed Publication
J Robot Surg2026;20(1)October 5, 2026Journal Article

Measurement of trainee autonomy in robotic-assisted lung resections using objective performance indicators.

Aaron Guo1, Jad Elharake1, Chandler Lowe1, Mahmoud Abdel-Rasoul2, Marissa Guo1, Shi-Hao Lee3, Mallory Shields3, Daniel Oh3, Ioana Baiu1, Peter J Kneuertz1, Robert E Merritt1, Desmond M D'Souza4
1Division of Thoracic Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 10th Avenue, N835 Doan Hall, Columbus, OH, 43210, USA.
2Center for Biostatistics, Department of Biomedical Informatics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
3Research Division, Intuitive Surgical Inc., Sunnyvale, CA, USA.
4Division of Thoracic Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 10th Avenue, N835 Doan Hall, Columbus, OH, 43210, USA. Desmond.d'souza@osumc.edu.

Abstract

Trainee autonomy in robotic-assisted thoracic surgery is critical for growth but difficult to quantify. Robotic platforms can log intraoperative kinematic and event data that can be transformed into metrics known as objective performance indicators (OPIs). This study sought to use OPIs obtained during robotic-assisted anatomic lung resections to assess trainee console autonomy at a high-volume rob…

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