Department of Urology and Kidney Transplantation, Martin Luther University, Ernst-Grube-Straße 40, 06120, Halle (Saale), Germany.
Department of Urology, Asclepius Clinic Wandsbek, Alphonsstrasse 14, 22043, Hamburg, Germany.
J Robot Surg. 2021 Oct;15(5):761-767. doi: 10.1007/s11701-020-01167-3. Epub 2020 Nov 13.
The rapid rise of robotic-assisted surgery (RAS) has necessitated an efficient and standardized training curriculum. Cognitive training (CT) can significantly improve skills, such as attention, working memory and problem solving, and can enhance surgical capacity and support RAS training. This pilot study was carried out between 02/2019 and 04/2019. The participants included 33 student volunteers, randomized into 3 groups: group 1 received training using the da Vinci training simulator, group 2 received computer-based cognitive training, and group 3 was the control group without training. Before (T1) and after-training (T2), performance was measured. Additionally, expert ratings and self-evaluations were collected. Subjective evaluations of performance were supplemented by evaluations based on three scales from the revised NEO Personality Inventory (NEO PI-R). In total, 25 probands remained with complete data for further analyses: n = 8 (group 1), n = 7 (group 2) and n = 10 (group 3). There were no significant differences in T1 and T2 among all three groups. The average training gain of group 1 and 2 was 15.87% and 24.6%, respectively, (a restricting condition is the loss of the last training session in group 2). Analyses of semi-structured psychological interviews (SPIs) revealed no significant differences for T1, but in T2, significance occurred at 'self-reflection' for group 2 (F(2.22) = 8.56; p < .005). The efficacy of CT in training highly complex and difficult procedures, such as RAS, is a proven and accepted fact. Further investigation involving higher numbers of training trials (while also being cost effective) should be performed.
机器人辅助手术（RAS）的迅速发展需要一个高效和标准化的培训课程。认知训练（CT）可以显著提高技能，如注意力、工作记忆和解决问题的能力，并可以增强手术能力和支持 RAS 培训。这项试点研究于 2019 年 2 月至 4 月进行。参与者包括 33 名学生志愿者，随机分为 3 组：第 1 组使用达芬奇手术模拟器进行培训，第 2 组接受计算机认知训练，第 3 组为无培训对照组。在培训前后（T1 和 T2）测量表现。此外，还收集了专家评分和自我评估。通过修订后的 NEO 人格量表（NEO PI-R）的三个量表对主观表现评估进行了补充。共有 25 名被试者的数据完整，可进一步分析：n = 8（第 1 组）、n = 7（第 2 组）和 n = 10（第 3 组）。三组在 T1 和 T2 之间没有显著差异。第 1 组和第 2 组的平均培训增益分别为 15.87%和 24.6%（限制条件是第 2 组失去最后一次培训课程）。对半结构化心理访谈（SPI）的分析显示，T1 时没有显著差异，但在 T2 时，第 2 组的“自我反思”出现了显著差异（F(2.22)=8.56;p<.005）。在培训高度复杂和困难的程序，如 RAS 方面，CT 的功效是经过验证和接受的事实。应进行涉及更多培训试验（同时具有成本效益）的进一步研究。
