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
Battle of the bots: a comparison of the standard da Vinci and the da Vinci Surgical Skills Simulator in surgical skills acquisition.
作者信息
Brown Kevin, Mosley Natalie, Tierney James
机构信息
Charleston Area Medical Center Health Education and Research Institute, 3110 MacCorkle Avenue SE, Room 58, Charleston, WV, 25304, USA.
出版信息
J Robot Surg. 2017 Jun;11(2):159-162. doi: 10.1007/s11701-016-0636-2. Epub 2016 Aug 29.
Virtual reality simulators are increasingly used to gain robotic surgical skills. This study compared use of the da Vinci Surgical Skills Simulator (dVSSS) to the standard da Vinci (SdV) robot for skills acquisition in a prospective randomized study. Residents from urology, gynecology, and general surgery programs performed three virtual reality tasks (thread the ring, ring rail, and tubes) on the dvSSS. Participants were then randomized to one of the two study groups (dVSSS and SdV). Each participant then practiced on either the dVSSS or the SdV (depending on randomization) for 30 min per week over a 4-week time period. The dVSSS arm was not permitted to practice ring rail (due to no similar practice scenario available for the SdV group). Following 4 weeks of practice, participants performed the same three virtual reality tasks and the results were recorded and compared to baseline. Overall and percent improvement were recorded for all participants from pre-test to post-test. Two-way ANOVA analyses were used to compare the dVSSS and SdV groups and three tasks. Initially, 30 participants were identified and enrolled in the study. Randomization resulted in 15 participants in each arm. During the course of the study, four participants were unable to complete all tasks and practice sessions and were, therefore, excluded. This resulted in a total of 26 participants (15 in the dVSSS group and 11 in the SdV group) who completed the study. Overall total improvement score was found to be 23.23 and 23.48 for the SdV and dVSSS groups, respectively (p = 0.9245). The percent improvement was 60 and 47 % for the SdV and dVSSS groups respectively, which was a statistically significant difference between the two groups and three tasks. Practicing on the standard da Vinci is comparable to practicing on the da Vinci simulator for acquiring robotic surgical skills. In spite of several potential advantages, the dVSSS arm performed no better than the SdV arm in the final assessment of participant scores. Our findings indicate that both the SdV and dVSSS can be beneficial to residents in improving their robotic surgery skills.
虚拟现实模拟器越来越多地被用于获取机器人手术技能。在一项前瞻性随机研究中,本研究比较了使用达芬奇手术技能模拟器(dVSSS)和标准达芬奇(SdV)机器人进行技能获取的情况。来自泌尿外科、妇科和普通外科项目的住院医师在dVSSS上执行了三项虚拟现实任务(穿环、环轨和插管)。然后,参与者被随机分配到两个研究组之一(dVSSS组和SdV组)。此后,每位参与者在4周的时间内,每周在dVSSS或SdV上练习30分钟(取决于随机分组情况)。dVSSS组不允许练习环轨任务(因为SdV组没有类似的练习场景)。经过4周的练习后,参与者执行相同的三项虚拟现实任务,并记录结果与基线进行比较。记录了所有参与者从测试前到测试后的总体改善情况和改善百分比。使用双向方差分析来比较dVSSS组和SdV组以及三项任务。最初,确定了30名参与者并纳入研究。随机分组后,每组有15名参与者。在研究过程中,有4名参与者无法完成所有任务和练习环节,因此被排除。这导致共有26名参与者(dVSSS组15名,SdV组11名)完成了研究。SdV组和dVSSS组的总体总改善得分分别为23.23和23.48(p = 0.9245)。SdV组和dVSSS组的改善百分比分别为60%和47%,这在两组和三项任务之间存在统计学上的显著差异。在获取机器人手术技能方面,在标准达芬奇机器人上练习与在达芬奇模拟器上练习相当。尽管有几个潜在优势,但在参与者分数的最终评估中,dVSSS组的表现并不比SdV组更好。我们的研究结果表明,SdV和dVSSS对住院医师提高机器人手术技能都有帮助。