分析视频运动跟踪系统“Kinovea”，以评估机器人辅助根治性前列腺切除术期间的手术动作。
Analysis of the video motion tracking system "Kinovea" to assess surgical movements during robot-assisted radical prostatectomy.
机构信息
Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Department of Urology, Catharina Hospital, Eindhoven, The Netherlands.
出版信息
Int J Med Robot. 2020 Apr;16(2):e2090. doi: 10.1002/rcs.2090. Epub 2020 Feb 21.
BACKGROUNDS
Robot-assisted surgery facilitated the possibility to evaluate the surgeon's skills by recording and evaluating the robot surgical images. The aim of this study was to investigate the possibility of using a computer programme (Kinovea) for objective assessment of surgical movements in previously recorded in existing robot-assisted radical prostatectomy (RARP) videos.
METHODS
Twelve entire RARP procedures were analysed by a trained researcher using the computer programme "Kinovea" to perform semi-automated assessment of surgical movements.
RESULTS
Data analysis showed Kinovea was on average able to automatically assess only 22% of the total surgical duration per video of the robot-assisted surgery. On average, it lasted 4 hours of continued monitoring by the researcher to assess one RARP using Kinovea.
CONCLUSION
Although we proved it is technically possible to use the Kinovea system in retrospective analysis of surgical movement in robot-assisted surgery, the acquired data do not give a comprehensive enough analysis of the video to be used in skills assessment.
背景
机器人辅助手术通过记录和评估机器人手术图像，为评估外科医生的技能提供了可能。本研究旨在探讨使用计算机程序（Kinovea）对现有机器人辅助根治性前列腺切除术（RARP）视频中记录的手术动作进行客观评估的可能性。
方法
由一名经过培训的研究人员使用计算机程序“Kinovea”对 12 例完整的 RARP 手术进行分析，以对手术动作进行半自动化评估。
结果
数据分析显示，Kinovea 平均只能自动评估机器人辅助手术视频中总手术时间的 22%。平均而言，研究人员需要持续监控 4 小时才能使用 Kinovea 评估一例 RARP。
结论
虽然我们已经证明，在机器人辅助手术中使用 Kinovea 系统对手术动作进行回顾性分析在技术上是可行的，但所获得的数据并不能对视频进行足够全面的分析，因此无法用于技能评估。
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