Department of Thyroid and Endocrine Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
The Education Committee of the Korean Association of Robotic Surgeons 2016-2017, Seoul, Korea.
World J Surg. 2019 Nov;43(11):2699-2709. doi: 10.1007/s00268-019-05108-6.
BACKGROUND: To compare the effectiveness of a custom-made skills simulator (CMSS) with the commercially available da Vinci skills simulator (DVSS) that help improving surgical skills for effective and safe robotic surgical interventions. METHODS: A randomized control study was conducted to determine the performance of participants after undergoing robotic surgical training. Total 64 students who had no previous experience with robotic surgery enrolled this study. After 5 min-introduction of robotic surgical system, the participants got random-assignment into two groups to perform either CMSS-or DVSS-exercises. After 15 min-practicing the corresponding simulator, task-execution performance and individual questionnaires were compared between participants trained with the CMSS and those trained with the DVSS. RESULTS: Regardless of simulator the participants used, the system understanding and manipulation ability of the participants was found to be higher than after completing the simulation-based robotic surgical training (p < 0.05). However, there were no significant differences in terms of the required time to complete the tasks, and improvement of understanding the concept of robotic surgery, or surgical skill capacity between two groups (p > 0.05). CONCLUSIONS: The training effectiveness of CMSS was not significantly different to DVSS. It can be synergetic tool to DVSS for novice trainees of robotic surgery to get accustomed to the robotic surgical system and to improve their basic robotic surgical skills.
背景:比较一种定制技能模拟器(CMSS)和一种商业上可用的达芬奇技能模拟器(DVSS)在帮助提高手术技能以实现有效和安全的机器人手术干预方面的效果。
方法:进行了一项随机对照研究,以确定参与者在接受机器人手术培训后的表现。共有 64 名没有机器人手术经验的学生参加了这项研究。在介绍机器人手术系统 5 分钟后,参与者被随机分配到两组,分别进行 CMSS 或 DVSS 练习。在相应的模拟器练习 15 分钟后,比较接受 CMSS 培训的参与者和接受 DVSS 培训的参与者的任务执行表现和个人问卷。
结果:无论参与者使用哪种模拟器,与完成基于模拟的机器人手术培训后相比,他们对系统的理解和操作能力都有所提高(p<0.05)。然而,在完成任务所需的时间、对机器人手术概念的理解的提高或手术技能能力方面,两组之间没有显著差异(p>0.05)。
结论:CMSS 的培训效果与 DVSS 没有显著差异。对于机器人手术的新手学员来说,它可以与 DVSS 协同使用,使其适应机器人手术系统并提高其基本的机器人手术技能。
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