Robot-Assisted Stapedotomy: Micropick Fenestration of the Stapes Footplate
Robot-Assisted Stapedotomy: Micropick Fenestration of the Stapes Footplate
复制标题
机器人辅助镫骨切开术：镫骨足板微镐开窗术
DOI：
10.1067/mhn.2002.129729
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
J. Niparko
中科院分区：
文献类型：
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作者：
Daniel L. Rothbaum;J. Roy;D. Stoianovici;P. Berkelman;G. Hager;R. Taylor;L. Whitcomb;H. Francis;J. Niparko
目的：选择镫骨足板的Micropick开窗术（镫骨切开术中的一个困难步骤）用于评价机器人辅助（RA）改善手术性能临床指标的潜力的试验。研究设计：在镫骨切开术的手术模型中，我们测量了开窗术到所需点位置的准确性和施加到镫骨底板的力。测量了3名经验丰富和3名经验不足的外科医生的性能变量。结果：RA显著降低了作用于镫骨底板的最大力。对于开窗靶向，RA显著提高了经验不足外科医生的准确性，并显著恶化了经验丰富的外科医生的靶向。结论：在镫骨切开术的手术模型中，RA显著改善了Micropick开窗术的性能。对于某些任务，RA对不同经验水平的用户的性能影响不同。临床意义：这些是第一个结果显示定量改善的性能，在模拟耳部手术使用RA和不同的影响，RA的性能为用户的不同经验水平。
OBJECTIVE: Micropick fenestration of the stapes footplate, a difficult step in stapedotomy, was selected for trials evaluating the potential for robotic assistance (RA) to improve clinical measures of surgical performance. STUDY DESIGN: In a surgical model of stapedotomy, we measured accuracy of fenestration to a desired point location and force applied to the stapes footplate. Performance variables were measured for 3 experienced and 3 less–experienced surgeons. RESULTS: RA significantly reduced the maximum force applied to the stapes footplate. For fenestration targeting, RA significantly improved accuracy for less–experienced surgeons and significantly worsened targeting for more-experienced surgeons. CONCLUSIONS: RA significantly improves performance for micropick fenestration in a surgical model of stapedotomy. For certain tasks, RA differentially affects performance for users of different experience levels. CLINICAL SIGNIFICANCE: These are the first results showing quantitative improvements in performance during simulated ear surgery using RA and differential effects of RA on performance for users of different experience levels.