Establishing a Training Program for Residents in Robotic Surgery
Establishing a Training Program for Residents in Robotic Surgery
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DOI：
10.1002/lary.20508
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发表时间：
2009-10-01
期刊：
影响因子：
2.6
通讯作者：
Baredes, Soly
中科院分区：
文献类型：
--
作者：
Moles, Jeremiah J.;Connelly, Patricia E.;Baredes, Soly
目标/假设：开发一个程序，教授居民机器人技能。研究设计：使用市售手术机器人的前瞻性教育项目。住院医生使用手术机器人完成一系列旨在模拟手术操作的指定任务。方法：耳鼻喉科住院医师被介绍给机器人手术，并附有关于使用da芬奇手术系统的教程（Intuitive Surgical，Inc.，桑尼维尔，CA）。参与者进行规定的练习，完成以下任务：圆形针转移、同时双手搬运、精确珠滴、穿针和缝线打结。这些任务的性能可以定量assessed.Results：教学居民基本的机器人技能的教育计划，可以很容易地引入到居住计划。住院医师在获得机器人手术技能方面的进展可以衡量。综合评分的方差分析显示，任务（F-4，F-24 = 8.11，P <0.01）和试验（F-2，F-12 = 5.71，P <0.01）的统计学显著效果。结论：机器人手术可能会成为耳鼻喉科手术实践的一个组成部分。机器人手术的培训项目需要在住院医师项目中正式建立。我们提出了一个初步方案，介绍机器人手术技能的住院医师培训。
Objectives/Hypothesis: To develop a program for teaching robotic skills to residents. To assess the development of proficiency in basic robotic surgical skills in a resident cohort.Study Design: Prospective educational project using a commercially available surgical robot. Residents use a surgical robot to complete a designated set of tasks intended to simulate surgical maneuvers. Performance is analyzed for errors and total time of procedure.Methods: Otolaryngology residents are introduced to robotic surgery with a tutorial on the usage of the da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA). Participants perform defined exercises accomplishing the following tasks: circular pin transfer, simultaneous bimanual carrying, precision bead drop, needle passing, and suture tying. Performance of these tasks can be quantitatively assessed.Results: An educational program for teaching residents basic robotic skills can easily be introduced into a residency program. Resident progress in acquiring robotic surgical skills can be measured. The analysis of variance for composite score revealed statistically significant effects for task (F-4,F-24 = 8.11, P < .01) and trial (F-2,F-12 = 5.71, P < .01).Conclusions: Robotic surgery will likely become an integral part of otolaryngologic surgical practice. Training programs in robotic surgery need to be formally established in residency programs. We present a preliminary program for introducing robotic surgical skills in residency training.