21 Introduction and Outline of the Thesis In Chapter 11 we investigate research question 4 ‘Which technical and non-technical skills factors in robot assisted surgery (competence, teamwork, dedicated OR team, patient factors, environmental factors) influence clinical and patient-related outcomes?’, research question 5 ‘Is video analysis a valid measuring tool to assess the competence of surgeons?’ and research question 6 ‘Is it possible to find differences between surgeries that are relevant to the outcome of the intervention by analysing video material?’ by evaluating the use of a video motion tracking system to assess surgical movements during robot-assisted radical prostatectomy. The results of this surgical movements analyses were compared to the postoperative outcome of the patients to asses if this type of analysis could be used to predict postoperative outcome. Chapter 12 studies research question 4 ‘Which technical and non-technical skills factors in robot assisted surgery (competence, teamwork, dedicated OR team, patient factors, environmental factors) influence clinical and patient-related outcomes?’, research question 5 ‘Is video analysis a valid measuring tool to assess the competence of surgeons?’ and research question 6 ‘Is it possible to find differences between surgeries that are relevant to the outcome of the intervention by analysing video material?’ by investigating the relationship between postoperative urinary continence and residual urethra stump measurements in robot assisted radical prostatectomy patients. This chapter describes the comparison of intra-operative measurements of the urethra stump to postoperative outcome of the patients. Finally, the findings of the preceding chapters will be summarized and discussed in Chapter 13. Moreover, this chapter will report our recommendations, practical implications, and suggestions for further research.
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