Moglia Andrea, Ferrari Vincenzo, Melfi Franca, Ferrari Mauro, Mosca Franco, Cuschieri Alfred, Morelli Luca
a EndoCAS, Center for Computer Assisted Surgery , University of Pisa , Pisa , Italy.
b Multidisciplinary Center of Robotic Surgery , Cisanello Hospital , Pisa , Italy.
Minim Invasive Ther Allied Technol. 2018 Dec;27(6):309-314. doi: 10.1080/13645706.2017.1365729. Epub 2017 Aug 17.
To assess whether previous training in surgery influences performance on da Vinci Skills Simulator and da Vinci robot. In this prospective study, thirty-seven participants (11 medical students, 17 residents, and 9 attending surgeons) without previous experience in laparoscopy and robotic surgery performed 26 exercises at da Vinci Skills Simulator. Thirty-five then executed a suture using a da Vinci robot. The overall scores on the exercises at the da Vinci Skills Simulator show a similar performance among the groups with no statistically significant pair-wise differences ( < .05). The quality of the suturing based on the unedited videos of the test run was similar for the intermediate (7 (4, 10)) and expert group (6.5 (4.5, 10)), and poor for the untrained groups (5 (3.5, 9)), without statistically significant difference ( < .05). This study showed, for subjects new to laparoscopy and robotic surgery, insignificant differences in the scores at the da Vinci Skills Simulator and at the da Vinci robot on inanimate models.
评估先前的外科手术培训是否会影响在达芬奇技能模拟器和达芬奇机器人上的操作表现。在这项前瞻性研究中，37名没有腹腔镜手术和机器人手术经验的参与者（11名医学生、17名住院医师和9名主治外科医生）在达芬奇技能模拟器上进行了26项练习。然后，35人使用达芬奇机器人进行了缝合操作。在达芬奇技能模拟器上的练习总体得分显示，各组之间表现相似，两两比较无统计学显著差异（P<0.05）。根据测试运行的未编辑视频，中级组（7（4，10））和专家组（6.5（4.5，10））的缝合质量相似，未经培训组的缝合质量较差（5（3.5，9）），无统计学显著差异（P<0.05）。这项研究表明，对于腹腔镜手术和机器人手术的新手来说，在达芬奇技能模拟器和达芬奇机器人上对无生命模型进行操作的得分差异不显著。
