Mukherjee M, Siu K-C, Suh I H, Klutman A, Oleynikov D, Stergiou N
Nebraska Biomechanics Core Facility, University of Nebraska, Omaha, USA.
Stud Health Technol Inform. 2009;142:210-4.
The purpose of this study was to use a simulated virtual reality environment for training of surgical skills and then to identify if the learning that occurred was transferable to a real world surgical task. The virtual surgical tasks consisted of bimanual carrying, needle passing and mesh alignment. In this ongoing study, the experimental group (n = 5) was trained by performing four blocks of the virtual surgical tasks using the da Vinci surgical robot. Pre and post training, all subjects were tested by performing a suturing task on a "life-like" suture pad. The control group (n = 5) performed only the suturing task. Significantly larger pre and post differences were revealed in time to task completion (p < 0.05) and total distance travelled by the dominant side instrument tip (p < 0.01) in the experimental group as compared to the control group. These differences were specific to the suture running aspect of the surgical task. In conclusion, virtual reality surgical skills training may produce a significant learning effect that can transfer to actual robot-assisted laparoscopic procedures.
本研究的目的是使用模拟虚拟现实环境来训练手术技能，然后确定所发生的学习是否可转移到现实世界的手术任务中。虚拟手术任务包括双手持物、穿针和网片对齐。在这项正在进行的研究中，实验组（n = 5）使用达芬奇手术机器人进行四个虚拟手术任务模块的训练。训练前后，所有受试者都通过在“逼真的”缝合垫上执行缝合任务进行测试。对照组（n = 5）仅执行缝合任务。与对照组相比，实验组在完成任务的时间（p < 0.05）和优势侧器械尖端移动的总距离（p < 0.01）方面，训练前后的差异显著更大。这些差异特定于手术任务的缝合操作部分。总之，虚拟现实手术技能训练可能会产生显著的学习效果，且这种效果可转移到实际的机器人辅助腹腔镜手术中。
