Does Training on a Virtual Reality Robotic Simulator Improve Performance on the da Vinci® Surgical System?
Does Training on a Virtual Reality Robotic Simulator Improve Performance on the da Vinci® Surgical System?
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DOI：
10.1089/end.2009.0190
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发表时间：
2010-03-01
影响因子：
2.7
通讯作者：
Sundaram, Chandru P.
中科院分区：
文献类型：
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作者：
Lerner, Michelle A.;Ayalew, Mikias;Sundaram, Chandru P.
目的：本研究的主要目的是确定在Mimic dV-Trainer（MdVT）模拟器上进行训练是否会提高使用da芬奇（R）手术系统（dVSS）进行无生命物体训练的能力。MdVT组的每位参与者完成了dVSS上的五个练习中的一个练习，这些练习的时间和准确性进行了评分，然后是四个MdVT训练课程，最后是dVSS上的最后一个练习，其中重复了最初的练习。改进的dVSS练习进行了比较，dVSS组谁完成了4至6个培训课程，使用相同的练习dVSS没有任何模拟器training.Results：两组有类似的显着改善，在信板和字符串运行练习的时间和准确性。MdVT组在模式切割和钉板时间方面表现出显著改善。只有dVSS组显着改善结打结时间和钉板accuracy.Conclusion：培训与MdVT提供了类似的改善五个练习上进行的dVSS相比，单独的dVSS培训。在住院医师和学生培训中使用该模拟器可能有助于弥合手术技能的安全获取与现场机器人辅助手术期间的有效表现之间的差距。
Purpose: The primary objective of this study is to determine if training on the Mimic dV-Trainer (MdVT) simulator results in improved ability on the da Vinci (R) surgical system (dVSS) using exercises with inanimate objects.Materials and Methods: Twelve trainees (MdVT group) and 10 residents and one fellow (dVSS group) were recruited for the study. Each participant in the MdVT group completed one session of five exercises on the dVSS that were scored for timing and accuracy, followed by four training sessions on the MdVT, and concluded with a final session on the dVSS in which the initial exercises were repeated. Improvement on the dVSS exercises was compared with dVSS group who completed four to six training sessions using the same exercises on the dVSS without any simulator training.Results: Both groups had similar significant improvements in the Letter Board and String Running exercises for both timing and accuracy. The MdVT group demonstrated significant improvement in the Pattern Cutting and Peg Board times. Only the dVSS group significantly improved in the Knot Tying time and the Peg Board accuracy.Conclusion: Training with the MdVT provided similar improvement on five exercises performed on the dVSS when compared with training on the dVSS alone. The use of this simulator in resident and student training may help bridge the gap between the safe acquisition of surgical skills and effective performance during live robot-assisted surgery.