Assessing system operation skills in robotic surgery trainees.
Assessing system operation skills in robotic surgery trainees.
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DOI:
10.1002/rcs.449
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发表时间:
2012-03
影响因子:
2.5
通讯作者:
Chen, Chi Chiung Grace
中科院分区:
文献类型:
--
作者:
Kumar, Rajesh;Jog, Amod;Malpani, Anand;Vagvolgyi, Balazs;Yuh, David;Nguyen, Hiep;Hager, Gregory;Chen, Chi Chiung Grace
With increased use of robotic surgery in specialties including urology, development of training methods has also intensified. However, current approaches lack the ability of discriminating operational and surgical skills. An automated recording system was used to longitudinally (monthly) acquire instrument motion/telemetry and video and for 4 basic surgical skills -- suturing, manipulation, transection, and dissection. Statistical models were then developed to discriminate the human-machine skill differences between practicing expert surgeons and trainees. Data from 6 trainee and 2 experts was analyzed to validate the first ever statistical models of operational skills, and demonstrate classification with very high accuracy (91.7% for masters, and 88.2% for camera motion) and sensitivity. We report on our longitudinal study aimed at tracking robotic surgery trainees to proficiency, and methods capable of objectively assessing operational and technical skills that would be used in assessing trainee progress at the participating institutions.
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