El-Shallaly G E H, Mohammed B, Muhtaseb M S, Hamouda A H, Nassar A H M
Monklands Hospital, Lanarkshire, Scotland, United Kingdom.
Minim Invasive Ther Allied Technol. 2005;14(6):369-71. doi: 10.1080/13645700500381685.
During laparoscopy, members of staff spend time setting up and de-activating the light source, camera and insufflator. Voice Recognition Interface (VRI) devices, such as HERMES (Stryker Europe, Montreux, Switzerland), enable the surgeon to perform and control these and other functions. They recognize the surgeon's voice and adjust the instruments in response to programmed verbal commands. The aim of this study was to evaluate HERMES with regards to the utilization of time and theatre staff during laparoscopic cholecystectomy. A total of 100 patients were randomized to either HERMES-assisted or standard laparoscopic cholecystectomy. Three time variables were measured for performing three VRI tasks: (1) The initial setting up of the light source and camera, (2) the activation of the insufflator, and (3) the deactivation of the insufflator and light source at the end of the operation. The mean (and standard deviation) of the time in seconds required for setting up the light source and camera was 27.6 (26.9) in non-HERMES operations and 11.7 (4.7) in HERMES-assisted cases (p<0.001). Insufflation time was 19.8 (13.3) vs. 6.7 (2.5) (p<0.001), and switch-off time was 19.5 (11.8) vs. 11.8 (5.7) (p<0.001). HERMES optimized the operating time and the utilization of theatre staff during laparoscopic cholecystectomy.
在腹腔镜手术过程中，工作人员需要花费时间来开启和关闭光源、摄像头及气腹机。语音识别接口（VRI）设备，如HERMES（史赛克欧洲公司，瑞士蒙特勒），能使外科医生执行并控制这些及其他功能。它们能识别外科医生的声音，并根据预设的语音指令调整器械。本研究的目的是评估在腹腔镜胆囊切除术期间，HERMES在时间利用和手术室工作人员使用方面的情况。总共100例患者被随机分为接受HERMES辅助的腹腔镜胆囊切除术组或标准腹腔镜胆囊切除术组。测量了执行三项VRI任务的三个时间变量：（1）光源和摄像头的初始开启；（2）气腹机的启动；（3）手术结束时气腹机和光源的关闭。在非HERMES辅助手术中，开启光源和摄像头所需的平均（及标准差）时间为27.6（26.9）秒，而在HERMES辅助的病例中为11.7（4.7）秒（p<0.001）。充气时间为19.8（13.3）秒对6.7（2.5）秒（p<0.001），关闭时间为19.5（11.8）秒对11.8（5.7）秒（p<0.001）。HERMES优化了腹腔镜胆囊切除术期间的手术时间和手术室工作人员的使用情况。
