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一项关于机器人手术中触觉反馈的实验研究:视觉反馈能否替代触觉反馈?

An experimental study about haptic feedback in robotic surgery: may visual feedback substitute tactile feedback?

作者信息

Meccariello Giuseppe, Faedi Federico, AlGhamdi Saleh, Montevecchi Filippo, Firinu Elisabetta, Zanotti Claudia, Cavaliere Davide, Gunelli Roberta, Taurchini Marco, Amadori Andrea, Vicini Claudio

机构信息

Department of Head-Neck Surgery, Otolaryngology and Head-Neck Surgery Division, Oral Surgery Unit, G. B. Morgagni-L. Pierantoni Hospital, Forli, Italy.

UOC of Clinical Engineering, G. B. Morgagni-L. Pierantoni Hospital, Forlì, Italy.

出版信息

J Robot Surg. 2016 Mar;10(1):57-61. doi: 10.1007/s11701-015-0541-0. Epub 2015 Nov 11.

Abstract

The aim of this study is to demonstrate the hypothesis that the experience of the surgeon is sufficient to partially compensate for the lack of haptic feedback of the robotic system da Vinci Si HD (Intuitive (®) ). Twenty-five international surgeons belonging to different areas of surgical specialization were divided into two groups of investigation: experts and non-experts in the use of da Vinci Platform. This allocation was made on the basis of the following criteria: the number of performed procedures, the number of robotic working days and the number of true console hours. All participants underwent a specific test to assess their ability to recognize the thickness of custom-made membranes, without the availability of haptic feedback. After the performance of the surgeons, score was given according to an appropriate evaluation system (time, preciseness, force of tension and finding a metallic object). The analysis of the performances of participants provided the following results: an average score of 8.87 for the experts compared to 3.57 of non-experts with significant difference (P < 0.05). Other parameters of interest as the average time to conduct the test showed a result of 28.8 s for experts and 71.3 s of non-experts. After our results, a significant difference between the two groups in terms of performance was found. Our hypothesis that the expertise ability of the experts might partially overcome the lack of haptic feedback was confirmed. Probably visual feedback may play a role.

摘要

本研究的目的是验证以下假设

外科医生的经验足以部分弥补达芬奇Si HD机器人系统(直观医疗公司(®))缺乏触觉反馈的不足。25名来自不同外科专业领域的国际外科医生被分为两组进行调查:达芬奇平台使用方面的专家和非专家。这种分组是基于以下标准进行的:手术例数、机器人工作日数和实际控制台操作时长。所有参与者都接受了一项特定测试,以评估他们在没有触觉反馈的情况下识别定制薄膜厚度的能力。在外科医生完成操作后,根据一个适当的评估系统(时间、精确性、张力大小和找到金属物体)给出分数。对参与者表现的分析得出了以下结果:专家的平均得分为8.87分,而非专家的平均得分为3.57分,两者存在显著差异(P < 0.05)。其他相关参数,如进行测试的平均时间,专家为28.8秒,非专家为71.3秒。根据我们的结果,发现两组在表现方面存在显著差异。我们关于专家的专业能力可能部分克服触觉反馈缺失的假设得到了证实。视觉反馈可能起到了一定作用。

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