Surgical robotics and laparoscopic training drills
Surgical robotics and laparoscopic training drills
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DOI：
10.1089/089277904322836703
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发表时间：
2004-02-01
影响因子：
2.7
通讯作者：
Menon, M
中科院分区：
文献类型：
--
作者：
Sarle, R;Tewari, A;Menon, M
目的：通过比较传统腹腔镜与达芬奇手术系统在各种腹腔镜训练训练中的表现，探讨机器人技术对手术技能的影响。受试者和方法：21名外科医生在腹腔镜训练器和达芬奇手术系统（Intuitive Surgical Sunnyvale， CA）下进行了8次增加难度的定时训练。完成了平均完井时间、钻井时间方差和统计分析。外科医生也被问及他们在完成钻头系列后对机器人技术的看法。结果：腹腔镜下完成第一次钻孔的平均时间为69秒，机器人系统为57秒。第二次训练的平均时间为腹腔镜手术67秒，机器人手术44秒；在第三次演练中，《泰晤士报》腹腔镜手术的时间为88秒，机器人手术的时间为61秒，而在第四次演练中，腹腔镜手术的时间为186秒，机器人手术的时间为71秒。只有第一次钻在腹腔镜组和机器人组之间没有显示出统计学上的显著差异。结论：机器人系统允许外科医生比传统腹腔镜更快地完成钻孔。在四项手术中，有三项手术的机器人操作速度比专家快。这些发现可能表明，机器人系统的属性在不同技术水平的外科医生之间提供了公平的竞争环境。下一代外科医生必须关注这项不断发展的技术及其在未来手术室中的应用。
Purpose: We investigated the impact of robotics on surgical skills by comparing traditional laparoscopy with the da Vinci Surgical System in the performance of various laparoscopic training drills.Subjects and Methods: Twenty-one surgeons performed eight timed drills of increasing difficulty with a laparoscopic trainer and the da Vinci Surgical System (Intuitive Surgical Sunnyvale, CA). The mean time to drill completion, drill time variance, and statistical analysis were performed. Surgeons were also questioned about their perception of the robotic technology following completion of the drill series.Results: The mean time required to complete the first drill was 69 seconds with laparoscopy and 57 seconds with the robotic system. The mean times for drill two were 67 seconds with laparoscopy and 44 seconds with robotics; for drill three, the times were 88 seconds for laparoscopy and 61 seconds for robotics, and for drill four, 186 seconds with laparoscopy and 71 seconds with robotics. Only the first drill failed to show a statistically significant difference between the laparoscopic and robotic groups.Conclusions: The robotic system allowed surgeons to complete drills faster than traditional laparoscopy. Novice laparoscopic surgeons performed three of the four drills faster robotically than did expert laparoscopic surgeons. These findings may indicate that the attributes of the robotic system level the playing field between surgeons of different skill levels. The next generation of surgeons must focus on this evolving technology and its application in the operating room of the future.