使用达芬奇手术系统的多服务腹腔镜手术培训
Multiservice laparoscopic surgical training using the daVinci surgical system.
作者信息
Hanly Eric J, Marohn Michael R, Bachman Sharon L, Talamini Mark A, Hacker Sander O, Howard Robin S, Schenkman Noah S
机构信息
Department of Surgery, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.
出版信息
Am J Surg. 2004 Feb;187(2):309-15. doi: 10.1016/j.amjsurg.2003.11.021.
BACKGROUND
The daVinci surgical system affords surgeons a magnified three-dimensional videoscopic view of the operative field and precise articulating laparoscopic instruments. The learning curve for this advanced surgical robotics system is poorly characterized.
METHODS
Twenty-three surgeons representing seven surgical subspecialties participated in a surgical robotics training program consisting of standardized daVinci system training (phase 1) followed by self-guided learning in a porcine model (phase 2).
RESULTS
The average number of recorded procedures performed per surgeon during phase 2 was 5.5. The mean daVinci system set-up time was 45 minutes and decreased by an average of 56.1% by the third successive set-up (r = -0.702, P <0.005). Operative times decreased 39.0% by the third successive practice operation (r = -0.860, P <0.0005).
CONCLUSIONS
New use of the daVinci robot is associated with a rapid learning curve and preclinical animal model training is effective in developing surgical robotics skills.
背景
达芬奇手术系统为外科医生提供了手术视野的放大三维视频视图以及精确的可弯曲腹腔镜器械。对于这种先进的手术机器人系统，其学习曲线的特征尚不明确。
方法
来自七个外科亚专业的23名外科医生参加了一个手术机器人培训项目，该项目包括标准化的达芬奇系统培训（第一阶段），随后在猪模型中进行自主学习（第二阶段）。
结果
在第二阶段，每位外科医生记录的平均手术例数为5.5例。达芬奇系统的平均设置时间为45分钟，到第三次连续设置时平均减少了56.1%（r = -0.702，P <0.005）。到第三次连续练习手术时，手术时间减少了39.0%（r = -0.860，P <0.0005）。
结论
达芬奇机器人的新应用与快速学习曲线相关，临床前动物模型训练在培养手术机器人技能方面是有效的。
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