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微创腹腔镜经验技能对机器人手术灵巧性的影响。

INFLUENCE OF MINIMALLY INVASIVE LAPAROSCOPIC EXPERIENCE SKILLS ON ROBOTIC SURGERY DEXTERITY.

机构信息

Department of Surgery, Pancreas Division, Santa Casa de São Paulo, São Paulo, SP, Brazil.

Sirio-Libanes Hospital, São Paulo, Brazil.

出版信息

Arq Bras Cir Dig. 2022 Jan 5;34(3):e1604. doi: 10.1590/0102-672020210003e1604. eCollection 2022.

Abstract

BACKGROUND

It is unclear if there is a natural transition from laparoscopic to robotic surgery with transfer of abilities.

AIM

To measure the performance and learning of basic robotic tasks in a simulator of individuals with different surgical background.

METHODS

Three groups were tested for robotic dexterity: a) experts in laparoscopic surgery (n=6); b) experts in open surgery (n=6); and c) non-medical subjects (n=4). All individuals were aged between 40-50 years. Five repetitions of four different simulated tasks were performed: spatial vision, bimanual coordination, hand-foot-eye coordination and motor skill.

RESULTS

Experts in laparoscopic surgery performed similar to non-medical individuals and better than experts in open surgery in three out of four tasks. All groups improved performance with repetition.

CONCLUSION

Experts in laparoscopic surgery performed better than other groups but almost equally to non-medical individuals. Experts in open surgery had worst results. All groups improved performance with repetition.

摘要

背景

目前尚不清楚是否存在从腹腔镜手术到机器人手术的自然过渡,以及能力的转移。

目的

测量具有不同手术背景的个体在机器人模拟器中进行基本机器人任务的表现和学习情况。

方法

对腹腔镜手术专家(n=6)、开放手术专家(n=6)和非医学专业人员(n=4)三组人员进行机器人灵巧性测试。所有参与者年龄在 40-50 岁之间。所有人均完成了四项不同模拟任务的五次重复:空间视觉、双手协调、手眼协调和运动技能。

结果

腹腔镜手术专家在四项任务中的三项中表现与非医学专业人员相似,优于开放手术专家。所有组在重复过程中都提高了表现。

结论

腹腔镜手术专家的表现优于其他组,但与非医学专业人员几乎相当。开放手术专家的结果最差。所有组在重复过程中都提高了表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3351/8735341/ca15233b7c37/0102-6720-abcd-34-03-e1604-gf1.jpg

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