Moore Lee J, Wilson Mark R, Waine Elizabeth, Masters Rich S W, McGrath John S, Vine Samuel J
Faculty of Applied Sciences, University of Gloucestershire, Gloucester, UK.
Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
J Robot Surg. 2015 Mar;9(1):67-73. doi: 10.1007/s11701-014-0493-9. Epub 2014 Dec 24.
Technical surgical skills are said to be acquired quicker on a robotic rather than laparoscopic platform. However, research examining this proposition is scarce. Thus, this study aimed to compare the performance and learning curves of novices acquiring skills using a robotic or laparoscopic system, and to examine if any learning advantages were maintained over time and transferred to more difficult and stressful tasks. Forty novice participants were randomly assigned to either a robotic- or laparoscopic-trained group. Following one baseline trial on a ball pick-and-drop task, participants performed 50 learning trials. Participants then completed an immediate retention trial and a transfer trial on a two-instrument rope-threading task. One month later, participants performed a delayed retention trial and a stressful multi-tasking trial. The results revealed that the robotic-trained group completed the ball pick-and-drop task more quickly and accurately than the laparoscopic-trained group across baseline, immediate retention, and delayed retention trials. Furthermore, the robotic-trained group displayed a shorter learning curve for accuracy. The robotic-trained group also performed the more complex rope-threading and stressful multi-tasking transfer trials better. Finally, in the multi-tasking trial, the robotic-trained group made fewer tone counting errors. The results highlight the benefits of using robotic technology for the acquisition of technical surgical skills.
据说，在机器人平台上比在腹腔镜平台上能更快地获得外科手术技能。然而，检验这一观点的研究却很匮乏。因此，本研究旨在比较新手使用机器人系统或腹腔镜系统获取技能的表现和学习曲线，并检验是否随着时间推移能保持任何学习优势，以及这些优势能否转移到更困难和压力更大的任务中。40名新手参与者被随机分配到机器人训练组或腹腔镜训练组。在进行一次球拾取和放下任务的基线试验后，参与者进行了50次学习试验。然后，参与者完成了一项即时保留试验和一项双器械穿绳任务的转移试验。一个月后，参与者进行了延迟保留试验和一项压力大的多任务试验。结果显示，在基线、即时保留和延迟保留试验中，机器人训练组比腹腔镜训练组更快、更准确地完成了球拾取和放下任务。此外，机器人训练组在准确性方面的学习曲线更短。机器人训练组在更复杂的穿绳和压力大的多任务转移试验中表现也更好。最后，在多任务试验中，机器人训练组的音调计数错误更少。这些结果凸显了使用机器人技术获取外科手术技能的益处。
