Alexander Beulens

193 A prospective observational multicentre study concerning non-technical skills in robot assisted radical cystectomy versus open radical cystectomy. - Informed consent of the patient to gather data and perform observations during surgery. Exclusion criteria No exclusion criteria will be used for this study. Recruitment and consent Informed consent from both patient and OR staff will be obtained allowing observation of the surgical procedure and obtaining patients data. Withdrawal of individual subjects/employee Both the subject of the surgery and all employees present during the surgery can always withdraw their consent to the use of their personal data/recording of the surgery. The data collected up to the moment of withdrawal of consent and the recording of the surgery will be destroyed after consent has been withdrawn. Consent can be withdrawn up to 6 months after surgery in order to have the recorded surgery destroyed. After 6 months, the recorded surgery will be automatically destroyed Centre details Based on prior data, on average a total of 35 ORCs is performed yearly in the Catharina Hospital Eindhoven. Since the Robot Assisted Radical Cystectomy has just been introduced the total number of Open Radical Cystectomy will be divided over the Open Radical Cystectomy and the Robot Assisted Radical Cystectomy modalities, it is expected that half of the radical cystectomies will be performed robot assisted. In the Antoni van Leeuwenhoek hospital, on average a total of 50 RARCs and 50 ORCs are performed each year. It is possible to include further hospitals in the future. Protocol Overview Patient results will be obtained prospectively. Pathology results will be registered as well as complications occurring within 90 days following surgery. Complication will be registered according to the Clavien Dindo system surgery. Measurements Non-technical skills will be observed using five different methods. 1. NOTSS: Non-Technical Skills for Surgeons.16 2. Oxford NOTECHS II: A Modified Theatre Team Non-Technical Skills Scoring System.11,12 3. OTAS: Observational Teamwork Assessment for Surgery.20