• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

机器人手术技能：获取、维持与退化

Robotic surgical skills: acquisition, maintenance, and degradation.

作者信息

Jenison Eric L, Gil Karen M, Lendvay Thomas S, Guy Michael S

机构信息

Department of Obstetrics and Gynecology, Akron General Medical Center, Akron, OH 44302, USA.

出版信息

JSLS. 2012 Apr-Jun;16(2):218-28. doi: 10.4293/108680812x13427982376185.

DOI:10.4293/108680812x13427982376185
PMID:23477169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3481234/
Abstract

BACKGROUND AND OBJECTIVES

The degradation in robotic skills that occurs during periods of robotic surgical inactivity in newly trained surgeons was measured. The role of animate training in robotic skill was also assessed.

METHODS

Robotically naive resident and attending surgeons underwent training with the da Vinci robot on needle passage (DN), rocking ring transfer peg board (RPB), and running suture pod tasks (SP). Errors were established to convert actual time to adjusted time. Participants were deemed "proficient" once their adjusted times were within 80% of those set by experienced surgeons through repeated trials. Participants did not use the robot except for repeating the tasks once at 4, 8, and 12 weeks (tests). Participants then underwent animate training and completed a final test within 7 days.

RESULTS

Twenty-five attending and 29 resident surgeons enrolled; 3 withdrew. There were significant increases in time to complete each of the tasks, and in errors, by 4 weeks (Adjusted times: DN: 122.9 +/- 2.2 to 204.2 +/- 11.7, t = 6.9, P < .001; RPB: 262.4 +/- 2.5 to 364.7 +/- 8.0, t = 12.4, P < .001; SP: 91.4 +/- 1.4 to 169.9 +/- 6.8, t = 11.3, P < .001). Times decreased following animate training, but not to levels observed after proficiency training for the RPB and SP modules.

CONCLUSIONS

Robotic surgical skills degrade significantly within 4 weeks of inactivity in newly trained surgeons. Animate training may provide different skills than those acquired in the dry lab.

摘要

背景与目的

对新培训外科医生在机器人手术不活动期间出现的机器人技能退化情况进行了测量。还评估了活体训练在机器人技能方面的作用。

方法

初次接触机器人的住院医师和主治医生使用达芬奇机器人进行了针穿刺（DN）、摇环转移钉板（RPB）和连续缝合吊舱任务（SP）的训练。通过将实际时间转换为调整时间来确定误差。参与者一旦其调整时间在经验丰富的外科医生通过反复试验设定的时间的80%以内，即被视为“熟练”。参与者除了在第4、8和12周重复一次任务（测试）外，不使用机器人。然后参与者接受活体训练，并在7天内完成最终测试。

结果

25名主治医生和29名住院医师登记参加；3人退出。到第4周时，完成每项任务的时间和误差均显著增加（调整时间：DN：122.9±2.2至204.2±11.7，t = 6.9，P <.001；RPB：262.4±2.5至364.7±8.0，t = 12.4，P <.001；SP：91.4±1.4至169.9±6.8，t = 11.3，P <.001）。活体训练后时间有所减少，但对于RPB和SP模块，未降至熟练训练后观察到的水平。

结论

新培训外科医生在不活动4周内，机器人手术技能显著退化。活体训练可能提供与在模拟实验室中获得的技能不同的技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/141f3ede0a04/jls0021228620005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/c2d4e0c3aa6a/jls0021228620001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/10539e30fc88/jls0021228620002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/a47512db1a75/jls0021228620003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/43ca5341d41f/jls0021228620004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/141f3ede0a04/jls0021228620005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/c2d4e0c3aa6a/jls0021228620001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/10539e30fc88/jls0021228620002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/a47512db1a75/jls0021228620003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/43ca5341d41f/jls0021228620004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0614/3481234/141f3ede0a04/jls0021228620005.jpg

相似文献

1
Robotic surgical skills: acquisition, maintenance, and degradation.机器人手术技能：获取、维持与退化
JSLS. 2012 Apr-Jun;16(2):218-28. doi: 10.4293/108680812x13427982376185.
2
Transferability of Virtual Reality, Simulation-Based, Robotic Suturing Skills to a Live Porcine Model in Novice Surgeons: A Single-Blind Randomized Controlled Trial.虚拟现实、模拟训练的机器人缝合技能在新手外科医生中向真实猪模型的可转移性：一项单盲随机对照试验
J Minim Invasive Gynecol. 2017 Mar-Apr;24(3):420-425. doi: 10.1016/j.jmig.2016.12.016. Epub 2016 Dec 24.
3
Multidisciplinary validation study of the da Vinci Skills Simulator: educational tool and assessment device.达芬奇技能模拟器的多学科验证研究：教育工具与评估设备
J Robot Surg. 2013 Dec;7(4):365-9. doi: 10.1007/s11701-013-0403-6. Epub 2013 Apr 21.
4
Robotic virtual reality simulation plus standard robotic orientation versus standard robotic orientation alone: a randomized controlled trial.机器人虚拟现实模拟加标准机器人定位与单纯标准机器人定位的比较：一项随机对照试验。
Female Pelvic Med Reconstr Surg. 2013 Sep-Oct;19(5):266-70. doi: 10.1097/SPV.0b013e3182a09101.
5
Using virtual reality to maintain surgical skills during periods of robotic surgery inactivity.在机器人手术不活跃期间，利用虚拟现实技术来维持手术技能。
J Robot Surg. 2014 Sep;8(3):261-8. doi: 10.1007/s11701-014-0465-0. Epub 2014 Apr 29.
6
Battle of the bots: a comparison of the standard da Vinci and the da Vinci Surgical Skills Simulator in surgical skills acquisition.机器人之战：标准达芬奇手术系统与达芬奇手术技能模拟器在手术技能获取方面的比较
J Robot Surg. 2017 Jun;11(2):159-162. doi: 10.1007/s11701-016-0636-2. Epub 2016 Aug 29.
7
Visuospatial Aptitude Testing Differentially Predicts Simulated Surgical Skill.视空间能力测试可预测模拟手术技能。
J Minim Invasive Gynecol. 2018 Sep-Oct;25(6):1044-1050. doi: 10.1016/j.jmig.2018.01.031. Epub 2018 Feb 5.
8
Comparison of two simulation systems to support robotic-assisted surgical training: a pilot study (Swine model).两种支持机器人辅助手术训练的模拟系统比较：一项试点研究（猪模型）
J Minim Invasive Gynecol. 2015 Mar-Apr;22(3):483-8. doi: 10.1016/j.jmig.2014.12.160. Epub 2014 Dec 24.
9
Robotic surgery training and performance: identifying objective variables for quantifying the extent of proficiency.机器人手术培训与操作：确定用于量化熟练程度的客观变量。
Surg Endosc. 2006 Jan;20(1):96-103. doi: 10.1007/s00464-005-3011-3. Epub 2005 Dec 7.
10
Validation study of a virtual reality robotic simulator--role as an assessment tool?虚拟现实机器人模拟器的验证研究——作为评估工具的作用？
J Urol. 2012 Mar;187(3):998-1002. doi: 10.1016/j.juro.2011.10.160. Epub 2012 Jan 20.

引用本文的文献

1
Comparing Post-Operative Pain Outcomes in Pelvic Organ Prolapse Surgery With and Without a Hysterectomy.比较有子宫切除术和无子宫切除术的盆腔器官脱垂手术的术后疼痛结果。
Int Urogynecol J. 2025 May 10. doi: 10.1007/s00192-025-06162-6.
2
Surgery and technical skill decay.手术及技术技能衰退。
Int J Surg. 2025 May 1;111(5):3399-3413. doi: 10.1097/JS9.0000000000002313.
3
Role of Robotic-Assisted Surgery in Public Health: Its Advantages and Challenges.机器人辅助手术在公共卫生中的作用：其优势与挑战。

本文引用的文献

1
Surgical outcomes in gynecologic oncology in the era of robotics: analysis of first 1000 cases.机器人技术时代妇科肿瘤学的手术结果：1000 例分析。
Am J Obstet Gynecol. 2011 Jun;204(6):551.e1-9. doi: 10.1016/j.ajog.2011.01.059. Epub 2011 Mar 16.
2
Quantitative evaluation of retention of surgical skills learned in simulation.模拟教学中习得手术技能的保持情况的定量评估。
J Surg Educ. 2010 Nov-Dec;67(6):421-6. doi: 10.1016/j.jsurg.2010.05.005. Epub 2010 Nov 5.
3
Proficiency-based Fundamentals of Laparoscopic Surgery skills training results in durable performance improvement and a uniform certification pass rate.
Cureus. 2024 Jun 23;16(6):e62958. doi: 10.7759/cureus.62958. eCollection 2024 Jun.
4
Gamification of robotic simulation to train general surgery residents.将机器人模拟游戏化以培训普通外科住院医师。
Surg Endosc. 2023 Apr;37(4):3136-3144. doi: 10.1007/s00464-022-09520-3. Epub 2022 Aug 10.
5
A resident robotic curriculum utilizing self-selection and a web-based feedback tool.利用自我选择和基于网络的反馈工具的住院医师机器人课程。
J Robot Surg. 2023 Apr;17(2):383-392. doi: 10.1007/s11701-022-01428-3. Epub 2022 Jun 13.
6
Efficiency and Accuracy of Robotic Surgical Performance Decayed Among Urologists During COVID-19 Shutdown.在新冠疫情封锁期间，泌尿外科医生的机器人手术操作效率和准确性有所下降。
J Endourol. 2021 Jun;35(6):888-890. doi: 10.1089/end.2020.0869. Epub 2020 Dec 11.
7
COVID 19 and Surgical Education: Time for Innovations.新型冠状病毒肺炎与外科教育：创新之时。
Indian J Surg. 2020 Jun;82(3):286-287. doi: 10.1007/s12262-020-02422-5. Epub 2020 Jun 1.
8
A Standardized Robotic Training Curriculum in a General Surgery Program.普通外科项目中的标准化机器人培训课程
JSLS. 2019 Oct-Dec;23(4). doi: 10.4293/JSLS.2019.00045.
9
[Robot-assisted surgery - Progress or expensive toy? : Matched-pair comparative analysis of robot-assisted cholecystectomy vs. laparoscopic cholecystectomy].[机器人辅助手术——是进步还是昂贵的玩具？：机器人辅助胆囊切除术与腹腔镜胆囊切除术的配对比较分析]
Chirurg. 2017 Dec;88(12):1040-1045. doi: 10.1007/s00104-017-0466-4.
10
Can teenage novel users perform as well as General Surgery residents upon initial exposure to a robotic surgical system simulator?青少年小说读者初次接触机器人手术系统模拟器时的表现能与普通外科住院医师一样好吗？
J Robot Surg. 2018 Mar;12(1):165-171. doi: 10.1007/s11701-017-0715-z. Epub 2017 Jun 5.
基于熟练度的腹腔镜手术基础技能训练可实现持久的绩效提升和统一的认证通过率。
Surg Endosc. 2010 Oct;24(10):2453-7. doi: 10.1007/s00464-010-0985-2. Epub 2010 Mar 27.
4
Retention of basic laparoscopic skills after a structured training program.结构化培训项目后基本腹腔镜技能的保持情况。
Gynecol Surg. 2009 Sep;6(3):229-235. doi: 10.1007/s10397-008-0458-y. Epub 2009 Jan 23.
5
Impact of robotic training on surgical and pathologic outcomes during robot-assisted laparoscopic radical prostatectomy.机器人训练对机器人辅助腹腔镜根治性前列腺切除术手术和病理结果的影响。
Urology. 2010 Aug;76(2):363-8. doi: 10.1016/j.urology.2009.09.085. Epub 2010 Mar 5.
6
Surgical privileging and credentialing: a report of a discussion and study group of the American Surgical Association.外科手术权限授予与资质认定：美国外科协会讨论与研究小组报告
J Am Coll Surg. 2009 Sep;209(3):396-404. doi: 10.1016/j.jamcollsurg.2009.04.018. Epub 2009 Jun 18.
7
Status of radical prostatectomy in 2009: is there medical evidence to justify the robotic approach?2009年根治性前列腺切除术的现状：是否有医学证据证明机器人手术方法的合理性？
Rev Urol. 2009 Spring;11(2):61-70.
8
Robotic gynecologic surgery: past, present, and future.机器人妇科手术：过去、现在与未来。
Clin Obstet Gynecol. 2009 Sep;52(3):335-43. doi: 10.1097/GRF.0b013e3181b08adf.
9
A detailed analysis of the learning curve: robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer.学习曲线的详细分析：子宫内膜癌的机器人子宫切除术和盆腔-主动脉淋巴结清扫术
Gynecol Oncol. 2009 Aug;114(2):162-7. doi: 10.1016/j.ygyno.2009.04.017. Epub 2009 May 9.
10
What is the optimal minimally invasive surgical procedure for endometrial cancer staging in the obese and morbidly obese woman?对于肥胖和病态肥胖女性的子宫内膜癌分期，最佳的微创手术方法是什么？
Gynecol Oncol. 2008 Oct;111(1):41-5. doi: 10.1016/j.ygyno.2008.06.030. Epub 2008 Aug 9.