Dry box training with three-dimensional vision for the assistant surgeon in robot-assisted urological surgery.
Dry box training with three-dimensional vision for the assistant surgeon in robot-assisted urological surgery.
复制标题
机器人辅助泌尿外科手术助理外科医生的三维视觉干箱培训。
DOI：
10.1111/iju.12101
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Takenaka A.
中科院分区：
文献类型：
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作者：
Hinata N;Iwamoto H;Morizane S;Hikita K;Yao A;Muraoka K;Honda M;Isoyama T;Sejima T;Takenaka A.
我们分析了三维视觉、实践或既往腹腔镜经验是否能提高床旁助手在机器人辅助手术期间的手术性能。六名经验丰富的腹腔镜外科医生和15名新手进行了三次技能训练，模仿机器人辅助手术中助手的动作，并记录完成任务的时间。与二维或无眼镜三维视觉相比，新手组和经验丰富组的每个钻的三维视觉操作时间显著缩短。经验丰富的组显示出显着较短的操作时间比新手组的所有类型的视觉。在新手组中，18次中有14次观察到显著改善，但在有经验的组中，18次中只有1次。我们可以得出结论，在机器人辅助手术期间，使用三维可视化有助于辅助外科医生的表现，特别是对于新手。腹腔镜经验也提高了性能，而培训是有益的新手助理外科医生进行实际操作之前。
We analyzed whether three‐dimensional vision, practice or previous laparoscopic experience improves the surgical performance of the bedside assistant during robot‐assisted surgery. Six experienced laparoscopic surgeons and 15 novices carried out three skills drills imitating an assistant's maneuvers in robot‐assisted surgery, and times for completing the tasks were recorded. Both the novice and experienced groups showed significantly shorter manipulation times for each drill with three‐dimensional vision compared with two‐dimensional or glassless three‐dimensional vision. The experienced group showed significantly shorter manipulation times than the novice group for all types of vision. A significant improvement was observed 14 out of 18 times in the novice group, but only one out of 18 times in the experienced group. We can conclude that the use of three‐dimensional visualization facilitates the performance of the assistant surgeon, especially if a novice, during robot‐assisted surgery. Laparoscopic experience also improves the performance, whereas training is beneficial for novice assistant surgeons before carrying out actual operations.