Task and Motion Analyses in Endoscopic Surgery

Task and Motion Analyses in Endoscopic Surgery
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内窥镜手术中的任务和运动分析

DOI:
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发表时间:
1996
期刊:
Dynamic Systems and Control
影响因子:
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通讯作者:
S. Payandeh
S. Payandeh
中科院分区:
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文献类型:
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作者:
C. Cao;C. MacKenzie;S. Payandeh

文献摘要

被引文献

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我们在这里提出的任务和运动分析,在内窥镜手术的用户,任务和工具的一个更大的研究的一部分。专家和新手外科医生的腹腔镜手术在培训讲习班的表现被捕获的视频和分析。确定了四项基本手术任务:解剖组织、缝合、打结和切割缝线。每个任务被分解为具有操作开始和结束的子任务。子任务被进一步分析为组件运动。我们在这里讨论:新手和专家外科医生之间的差异;可能解释不同任务之间结果模式的任务约束,包括精度和安全约束;根据目标对象操作相同内窥镜工具的差异;大量“附加”运动;执行手术任务的工具定位和定向困难;以及内窥镜手术中的伸展和抓握运动的串行执行,与自然伸展中的并行执行相比。
We present here task and motion analyses, part of a larger study on users, tasks and tools in endoscopic surgery. Expert and novice surgeons’ performance of laparoscopic surgery in training workshops was captured on video and analyzed. Four basic surgical tasks were identified: dissecting tissue, suturing, tying knots, and cutting suture. Each task was decomposed into subtasks with operational beginnings and endings. Subtasks were further analyzed into component motions. Here we discuss: differences between novice and expert surgeons; task constraints that might account for the pattern of results across the different tasks, including precision and safety constraints; differences in manipulation of the same endoscopic tool as a function of the target object; the large number of “additional” motions; difficulties in positioning and orientation of tools to perform the surgical tasks; and the serial execution of reach and grasp movements in endoscopic surgery, compared to their parallel execution in natural prehension.