Robotic surgical skills: acquisition, maintenance, and degradation.
Robotic surgical skills: acquisition, maintenance, and degradation.
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DOI：
10.4293/108680812x13427982376185
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发表时间：
2012-04
期刊：
影响因子：
--
通讯作者：
Guy MS
中科院分区：
文献类型：
--
作者：
Jenison EL;Gil KM;Lendvay TS;Guy MS
在新培训的外科医生中，这项研究发现，机器人手术技能在不活动的4周内显著下降。动画训练可能会提供与在干燥实验室中获得的不同的技能。对新培训的外科医生在机器人手术不活动期间发生的机器人技能退化进行了测量。动画训练在机器人技能中的作用也得到了评估。机器人天真的住院医生和主治医生接受了达芬奇®机器人在穿针(DN)、摇环转移钉板(RPB)和运行缝合吊舱任务(SP)方面的培训。已建立将实际时间转换为调整时间的错误。一旦参与者的调整时间在经验丰富的外科医生通过反复试验设定的时间的80%以内，他们就被认为“熟练”。参与者除了在4、8和12周(测试)时重复一次任务外，没有使用机器人。参与者随后接受了动画训练，并在7天内完成了最终测试。25名主治医生和29名住院外科医生登记；3名退出。完成每项任务的时间和错误次数均显著增加4周(调整时间：DN：122.9±2.2至204.2±11.7，t=6.9，P<0.001；RPB：262.4±2.5至364.7±8.0，t=12.4，P<0.001；SP：91.4±1.4至169.9±6.8，t=11.3，P<0.001)。动画培训后时间减少，但没有达到RPB和SP模块熟练培训后的水平。在新培训的外科医生中，机器人手术技能在不活动的4周内显著下降。动画训练可能会提供不同于在干燥实验室中获得的技能。
In newly trained surgeons, this study found that robotic surgical skills degraded significantly within 4 weeks of inactivity. Animate training may provide different skills than those acquired in dry lab. The degradation in robotic skills that occurs during periods of robotic surgical inactivity in newly trained surgeons was measured. The role of animate training in robotic skill was also assessed. Robotically naïve resident and attending surgeons underwent training with the da Vinci® robot on needle passage (DN), rocking ring transfer peg board (RPB), and running suture pod tasks (SP). Errors were established to convert actual time to adjusted time. Participants were deemed “proficient” once their adjusted times were within 80% of those set by experienced surgeons through repeated trials. Participants did not use the robot except for repeating the tasks once at 4, 8, and 12 weeks (tests). Participants then underwent animate training and completed a final test within 7 days. Twenty-five attending and 29 resident surgeons enrolled; 3 withdrew. There were significant increases in time to complete each of the tasks, and in errors, by 4 weeks (Adjusted times: DN: 122.9 ± 2.2 to 204.2 ± 11.7, t=6.9, P<.001; RPB: 262.4 ± 2.5 to 364.7 ± 8.0, t=12.4, P<.001; SP: 91.4 ± 1.4 to 169.9 ± 6.8, t=11.3, P<.001). Times decreased following animate training, but not to levels observed after proficiency training for the RPB and SP modules. Robotic surgical skills degrade significantly within 4 weeks of inactivity in newly trained surgeons. Animate training may provide different skills than those acquired in the dry lab.
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DOI：
10.1007/s00464-010-0985-2
发表时间：
2010-10-01
影响因子：
3.1
作者：
Rosenthal, Madelyn E.;Ritter, E. Matt;Scott, Daniel J.
通讯作者：
Scott, Daniel J.
影响因子：
2.1
作者：
Herrell, SD;Smith, JA
通讯作者：
Smith, JA
影响因子：
120.7
作者：
Begg, CB;Cramer, LD;Brennan, MF
通讯作者：
Brennan, MF
影响因子：
51.1
作者：
Osborne, Michael P.
通讯作者：
Osborne, Michael P.
影响因子：
3.8
作者：
Hannan, EL;Radzyner, M;Brennan, MF
通讯作者：
Brennan, MF