van der Schatte Olivier R H, Van't Hullenaar C D P, Ruurda J P, Broeders I A M J
Department of Surgery, University Medical Center, Utrecht, The Netherlands.
Surg Endosc. 2009 Jun;23(6):1365-71. doi: 10.1007/s00464-008-0184-6. Epub 2008 Oct 15.
Robot-assisted surgical systems have been introduced to improve the outcome of minimally invasive surgery. These systems also have the potential to improve ergonomics for the surgeon during endoscopic surgery. This study aimed to compare the user's mental and physical comfort in performing standard laparoscopic and robot-assisted techniques. Surgical performance also was analyzed.
In this study, 16 surgically inexperienced participants performed three tasks using both a robotic system and standard laparoscopic instrumentation. Distress was measured using questionnaires and an ambulatory monitoring system. Surgical performance was analyzed with time-action analysis.
The physiologic parameters (p = 0.000), the questionnaires (p = 0.000), and the time-action analysis (p = 0.001) favored the robot-assisted group in terms of lower stress load and an increase in work efficiency.
In this experimental setup, the use of a robot-assisted surgical system was of value in both cognitive and physical stress reduction. Robotic assistance also demonstrated improvement in performance.
机器人辅助手术系统已被引入以改善微创手术的效果。这些系统还有潜力在内镜手术期间改善外科医生的人体工程学。本研究旨在比较用户在执行标准腹腔镜和机器人辅助技术时的心理和身体舒适度。还对外科手术表现进行了分析。
在本研究中，16名无手术经验的参与者使用机器人系统和标准腹腔镜器械执行三项任务。使用问卷和动态监测系统测量痛苦程度。通过时间动作分析对外科手术表现进行分析。
在较低的压力负荷和工作效率提高方面，生理参数（p = 0.000）、问卷（p = 0.000）和时间动作分析（p = 0.001）均有利于机器人辅助组。
在本实验设置中，使用机器人辅助手术系统在减轻认知和身体压力方面均有价值。机器人辅助也显示出手术表现的改善。
