Narula Vimal K, Watson William C, Davis S Scott, Hinshaw Kristen, Needleman Bradley J, Mikami Dean J, Hazey Jeffrey W, Winston John H, Muscarella P, Rubin Mike, Patel Vipul, Melvin W Scott
Center for Minimally Invasive Surgery, The Ohio State University, Columbus, OH 43210, USA.
Surg Endosc. 2007 Dec;21(12):2258-61. doi: 10.1007/s00464-007-9363-0. Epub 2007 May 24.
Robotic technology has been postulated to improve performance in advanced surgical skills. We utilized a novel computerized assessment system to objectively describe the technical enhancement in task performance comparing robotic and laparoscopic instrumentation.
Advanced laparoscopic surgeons (2-10 yrs experience) performed three unique task modules using laparoscopic and Telerobotic surgical instrumentation (Intuitive Surgical, Sunnyvale, CA). Performance was evaluated using a computerized assessment system (ProMIS, Dublin, Ireland) and results were recorded as time (s), path (mm) and precision. Each surgeon had an initial training session followed by two testing sessions for each module. A paired Student's t-test was used to analyze the data.
Ten surgeons completed the study. 8/10 surgeons had significant technical enhancement utilizing robotic technology.
The ProMIS computerized assessment system can be modified to objectively obtain task performance data with robotic instrumentation. All the tasks were performed faster and with more precision using the robotic technology than standard laparoscopy.
机器人技术被认为可以提高高级手术技能的表现。我们使用了一种新型的计算机化评估系统，以客观描述在比较机器人和腹腔镜器械时任务执行中的技术提升。
经验丰富的腹腔镜外科医生（2 - 10年经验）使用腹腔镜和远程机器人手术器械（直观外科公司，加利福尼亚州桑尼维尔市）执行三个独特的任务模块。使用计算机化评估系统（ProMIS，爱尔兰都柏林）评估表现，结果记录为时间（秒）、路径（毫米）和精度。每位外科医生都有一次初始培训课程，随后针对每个模块进行两次测试课程。使用配对学生t检验分析数据。
十名外科医生完成了研究。8/10的外科医生在使用机器人技术时技术有显著提升。
ProMIS计算机化评估系统可以进行修改，以客观获取使用机器人器械时的任务表现数据。与标准腹腔镜检查相比，使用机器人技术执行所有任务的速度更快且精度更高。
