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泌尿外科机器人手术培训。未来展望。

Training in urological robotic surgery. Future perspectives.

作者信息

El Sherbiny Ahmed, Eissa Ahmed, Ghaith Ahmed, Morini Elena, Marzotta Lucilla, Sighinolfi Maria Chiara, Micali Salvatore, Bianchi Giampaolo, Rocco Bernardo

机构信息

Urology Department. Faculty of Medicine. Tanta University. Egypt.Department of Urology. University of Modena and Reggio Emilia. Modena. Italy.

Urology Department. Faculty of Medicine. Tanta University. Egypt.

出版信息

Arch Esp Urol. 2018 Jan;71(1):97-107.

PMID:29336338
Abstract

As robotics are becoming more integrated into the medical field, robotic training is becoming more crucial in order to overcome the lack of experienced robotic surgeons. However, there are several obstacles facing the development of robotic training programs like the high cost of training and the increased operative time during the initial period of the learning curve, which, in turn increase the operative cost. Robotic-assisted laparoscopic prostatectomy is the most commonly performed robotic surgery. Moreover, robotic surgery is becoming more popular among urologic oncologists and pediatric urologists. The need for a standardized and validated robotic training curriculum was growing along with the increased number of urologic centers and institutes adopting the robotic technology. Robotic training includes proctorship, mentorship or fellowship, telementoring, simulators and video training. In this chapter, we are going to discuss the different training methods, how to evaluate robotic skills, the available robotic training curriculum, and the future perspectives.

摘要

随着机器人技术越来越多地融入医学领域,为克服经验丰富的机器人外科医生短缺的问题,机器人培训变得愈发关键。然而,机器人培训项目的发展面临若干障碍,比如培训成本高昂,以及在学习曲线初期手术时间增加,这反过来又提高了手术成本。机器人辅助腹腔镜前列腺切除术是最常开展的机器人手术。此外,机器人手术在泌尿外科肿瘤学家和小儿泌尿外科医生中越来越受欢迎。随着采用机器人技术的泌尿外科中心和机构数量增加,对标准化且经过验证的机器人培训课程的需求也在不断增长。机器人培训包括带教、导师指导或进修、远程指导、模拟器和视频培训。在本章中,我们将讨论不同的培训方法、如何评估机器人操作技能、现有的机器人培训课程以及未来展望。

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1
Training in urological robotic surgery. Future perspectives.泌尿外科机器人手术培训。未来展望。
Arch Esp Urol. 2018 Jan;71(1):97-107.
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[Training program in urological laparoscopic surgery. Future perspective.].[泌尿外科腹腔镜手术培训项目。未来展望。]
Arch Esp Urol. 2018 Jan;71(1):85-88.

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Artificial Intelligence in Surgical Training for Kidney Cancer: A Systematic Review of the Literature.人工智能在肾癌手术培训中的应用:文献系统综述
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Discrimination, Reliability, Sensitivity, and Specificity of Robotic Surgical Proficiency Assessment With Global Evaluative Assessment of Robotic Skills and Binary Scoring Metrics: Results From a Randomized Controlled Trial.
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Can remote assistance for robotic surgery improve surgical performance in simulation training? A prospective clinical trial of urology residents using a simulator in south america.远程协助机器人手术是否能提高模拟训练中的手术表现?一项在南美洲使用模拟器对泌尿科住院医师进行的前瞻性临床试验。
Int Braz J Urol. 2022 Nov-Dec;48(6):952-960. doi: 10.1590/S1677-5538.IBJU.2022.0104.
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Minimally invasive vs. open segmental resection of the splenic flexure for cancer: a nationwide study of the Italian Society of Surgical Oncology-Colorectal Cancer Network (SICO-CNN).微创与开放性节段性脾曲切除术治疗癌症:意大利外科肿瘤学会-结直肠肿瘤网络(SICO-CNN)的全国性研究。
Surg Endosc. 2023 Feb;37(2):977-988. doi: 10.1007/s00464-022-09547-6. Epub 2022 Sep 9.
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Asian J Urol. 2022 Jul;9(3):253-262. doi: 10.1016/j.ajur.2022.03.008. Epub 2022 Jun 1.
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World J Urol. 2020 Aug;38(8):1875-1882. doi: 10.1007/s00345-019-02822-7. Epub 2019 Jun 17.