Spatial cognition in minimally invasive surgery: a systematic review.

Spatial cognition in minimally invasive surgery: a systematic review.
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DOI:
10.1186/s12893-018-0416-1
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发表时间:
2018-11-07
期刊:
影响因子:
1.9
通讯作者:
Francis NK
Francis NK
中科院分区:
医学4区
文献类型:
--
作者:
Vajsbaher T;Schultheis H;Francis NK

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众所周知,空间认知在微创手术(MIS)中起着重要作用,因为它被发现能够更快地获得手术技能,减少手术时间和错误,并显着提高手术性能。之前没有研究试图总结现有文献,以表明个体空间能力的重要性水平以及它们如何影响MIS中的手术性能和技能获取。心理学和医学数据库进行了系统的搜索,以确定研究直接探索空间认知的MIS学习和性能结果。在2006年至2016年期间发表的英语文章中撰写的文章,调查了空间认知的任何和所有方面与MIS的表现或学习的影响直接相关,被认为是合格的。共有26项研究符合这一标准,并被纳入审查。这些研究是非常异质性的,绝大多数参与者是新手,但具有不同程度的技能。没有临床研究,因为几乎所有研究都是在箱式训练器或虚拟现实模拟器上进行的。心理旋转能力被认为对手术性能有明显的影响,心理练习被认为是术前提高性能的有效工具。MIS设备的人机工程学设置对MIS性能和学习成果有显着的影响。空间认知在MIS中起着重要作用,心理旋转在MIS中表现出特殊的意义。未来的研究需要在临床环境中进一步确认和量化这些发现。
Spatial cognition is known to play an important role in minimally invasive surgery (MIS), as it was found to enable faster surgical skill acquisition, reduce surgical time and errors made and significantly improve surgical performance. No prior research attempted to summarize the available literature, to indicate the level of importance of the individual spatial abilities and how they impact surgical performance and skill acquisition in MIS. Psychological and medical databases were systematically searched to identify studies directly exploring spatial cognition in MIS learning and performance outcomes. Articles written in the English language articles, published between 2006 and 2016, investigating any and all aspect of spatial cognition in direct relation to influence over performance or learning of MIS, were deemed eligible. A total of 26 studies satisfied this criterion and were included in the review. The studies were very heterogeneous and the vast majority of the participants were novice trainees but with variable degree of skills. There were no clinical studies as almost all studies were conducted on either box trainers or virtual reality simulators. Mental rotation ability was found to have a clear impact on operative performance and mental practice was identified as an effective tool to enhance performance, pre-operatively. Ergonomic set-up of the MIS equipment has a marked influence on MIS performance and learning outcomes. Spatial cognition was found to play an important role in MIS, with mental rotation showing a specific significance. Future research is required to further confirm and quantify these findings in the clinical settings.
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