单孔机器人前列腺根治术与多孔机器人前列腺根治术：初始学习曲线期间的人为因素分析。
Single port robotic radical prostatectomy versus multi-port robotic radical prostatectomy: A human factor analysis during the initial learning curve.
机构信息
Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA.
Division of Urology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
出版信息
Int J Med Robot. 2021 Apr;17(2):e2209. doi: 10.1002/rcs.2209. Epub 2020 Dec 29.
BACKGROUND
Studies have thus far neglected to evaluate the impact of the da Vinci single port (SP) robotic platform on surgeon experience and operating room efficiency. We sought to assess the effect of the SP platform on surgeon cognitive load measures during robotic assisted laparoscopic prostatectomy (RALP).
METHODS
We prospectively compared the first 20 SP-RALPs performed at our institution to 20 multi-port (MP)-RALPs performed by a single experienced robotic surgeon. Three multi-dimensional assessment tools were used to evaluate mental and surgical workload, teamwork and workflow disruptions.
RESULTS
No statistically significant differences were found between the MP-RALP and SP-RALP cohorts when evaluated by NASA Task Load Index, Surgery Task Load Index and Observational Teamwork Assessments.
CONCLUSIONS
The SP robotic platform did not adversely affect human factor performance of the surgeon during RALP. Multi-institutional validation will be necessary to confirm these initial findings.
背景
迄今为止，研究尚未评估达芬奇单端口（SP）机器人平台对外科医生经验和手术室效率的影响。我们试图评估 SP 平台对机器人辅助腹腔镜前列腺切除术（RALP）期间外科医生认知负荷测量的影响。
方法
我们前瞻性地比较了我院前 20 例 SP-RALP 和同一位经验丰富的机器人外科医生进行的 20 例多端口（MP）-RALP。使用三种多维评估工具评估精神和手术工作量、团队合作和工作流程中断。
结果
在 NASA 任务负荷指数、手术任务负荷指数和观察性团队评估中，MP-RALP 和 SP-RALP 队列之间没有发现统计学上的显著差异。
结论
SP 机器人平台在 RALP 期间并未对外科医生的人为因素表现产生不利影响。需要进行多机构验证才能证实这些初步发现。
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