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定制技能模拟器(CMSS)与达芬奇技能模拟器训练效果比较:一项随机对照研究。

Comparison of Training Efficacy Between Custom-Made Skills Simulator (CMSS) and da Vinci Skills Simulators: A Randomized Control Study.

机构信息

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.

出版信息

World J Surg. 2019 Nov;43(11):2699-2709. doi: 10.1007/s00268-019-05108-6.


DOI:10.1007/s00268-019-05108-6
PMID:31399794
Abstract

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.

摘要

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。

相似文献

[1]
Comparison of Training Efficacy Between Custom-Made Skills Simulator (CMSS) and da Vinci Skills Simulators: A Randomized Control Study.

World J Surg. 2019-11

[2]
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J Minim Invasive Gynecol. 2017

[3]
Multidisciplinary validation study of the da Vinci Skills Simulator: educational tool and assessment device.

J Robot Surg. 2013-12

[4]
Transferability of Virtual Reality, Simulation-Based, Robotic Suturing Skills to a Live Porcine Model in Novice Surgeons: A Single-Blind Randomized Controlled Trial.

J Minim Invasive Gynecol. 2017

[5]
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Surg Endosc. 2018-2-12

[6]
Does Robotic Surgical Simulator Performance Correlate With Surgical Skill?

J Surg Educ. 2017-6-13

[7]
A comparative analysis and guide to virtual reality robotic surgical simulators.

Int J Med Robot. 2018-2

[8]
Structured training on the da Vinci Skills Simulator leads to improvement in technical performance of robotic novices.

Clin Otolaryngol. 2017-2

[9]
Battle of the bots: a comparison of the standard da Vinci and the da Vinci Surgical Skills Simulator in surgical skills acquisition.

J Robot Surg. 2017-6

[10]
A Systematic Review of Virtual Reality Simulators for Robot-assisted Surgery.

Eur Urol. 2015-10-1

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[1]
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J Minim Invasive Surg. 2025-6-15

[2]
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Surg Endosc. 2024-11

[3]
Outcomes, Measurement Instruments, and Their Validity Evidence in Randomized Controlled Trials on Virtual, Augmented, and Mixed Reality in Undergraduate Medical Education: Systematic Mapping Review.

JMIR Serious Games. 2022-4-13

本文引用的文献

[1]
Retzius-sparing robot-assisted radical prostatectomy using the Revo-i robotic surgical system: surgical technique and results of the first human trial.

BJU Int. 2018-5-27

[2]
A comparative analysis and guide to virtual reality robotic surgical simulators.

Int J Med Robot. 2018-2

[3]
Multicenter outcomes of robotic reconstruction during the early learning curve for minimally-invasive pancreaticoduodenectomy.

HPB (Oxford). 2018-2

[4]
Learning Curves for Robotic Surgery: a Review of the Recent Literature.

Curr Urol Rep. 2017-9-23

[5]
Robot-assisted Kidney Transplantation: The European Experience.

Eur Urol. 2017-9-12

[6]
Operative and survival outcomes in a series of 100 consecutive cases of robot-assisted transhiatal esophagectomies.

Dis Esophagus. 2017-10-1

[7]
Robotic Cholecystectomy Using the Newly Developed Korean Robotic Surgical System, Revo-i: A Preclinical Experiment in a Porcine Model.

Yonsei Med J. 2017-9

[8]
A Comparison of Robotic Simulation Performance on Basic Virtual Reality Skills: Simulator Subjective Versus Objective Assessment Tools.

J Minim Invasive Gynecol. 2017

[9]
Updates in Minimally Invasive Cardiac Surgery for General Surgeons.

Surg Clin North Am. 2017-8

[10]
Advanced real-time multi-display educational system (ARMES): An innovative real-time audiovisual mentoring tool for complex robotic surgery.

J Surg Oncol. 2017-12

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