对首次进行机器人缝合肠道吻合术的中级和高级住院医师的评估。
Evaluation of midlevel and upper-level residents performing their first robotic-sutured intestinal anastomosis.
作者信息
Marecik Slawomir J, Prasad Leela M, Park John J, Jan Azam, Chaudhry Vivek
机构信息
Department of Surgery, Advocate Lutheran General Hospital, 1775 W. Dempster Street, 8 South, Park Ridge, IL 60068, USA.
出版信息
Am J Surg. 2008 Mar;195(3):333-7; discussion 337-8. doi: 10.1016/j.amjsurg.2007.12.013.
BACKGROUND
This study analyzed the experience of residents performing their first robotic intestinal anastomosis.
METHODS
Eleven residents were tested. Participants performed 2 ex vivo hand-sewn suture lines followed by 3 robotic suture lines.
RESULTS
The leak pressures in hand-sewn groups were 28.5 and 28.1 mm Hg; and 17.4, 7.6, and 21.4 mm Hg for 3 consecutive robotic groups. Completion time was longer in the robotic groups. The need for haptic assistance decreased between the first and third robotic drills. An analysis of the subjective evaluations also was performed.
CONCLUSIONS
Complex hand-sewn tasks can be reproduced successfully by the residents using the robot-suturing technique. The quality of suturing and completion time improved over 3 consecutive exercises, although it did not reach the level of the hand-sewn suturing group.
背景
本研究分析了住院医师首次进行机器人肠道吻合术的经验。
方法
对11名住院医师进行了测试。参与者先进行2次体外手工缝合线操作，随后进行3次机器人缝合线操作。
结果
手工缝合组的漏压力分别为28.5和28.1毫米汞柱；连续3组机器人缝合组的漏压力分别为17.4、7.6和21.4毫米汞柱。机器人缝合组的完成时间更长。在第一次和第三次机器人操作练习之间，对触觉辅助的需求有所减少。还进行了主观评价分析。
结论
住院医师使用机器人缝合技术能够成功再现复杂的手工缝合任务。经过连续3次练习，缝合质量和完成时间有所改善，尽管未达到手工缝合组的水平。
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