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印度机器人手术住院医师培训的横断面研究

A Cross-Sectional Study of Resident Training in Robotic Surgery in India.

作者信息

Darlington Danny, Anitha Fatima Shirly, Joseph Carbin

机构信息

Uro-Oncology, Max Super Speciality Hospital, Delhi, IND.

Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

出版信息

Cureus. 2022 Feb 13;14(2):e22162. doi: 10.7759/cureus.22162. eCollection 2022 Feb.

Abstract

Background The widespread implementation of robotic surgery in the Indian subcontinent has received mixed reactions from residents and mentors alike. To date, however, no study has documented the perception of Indian surgical trainees on the effect of robotic surgery on surgical training. Therefore, we conducted a questionnaire-based study on Indian surgical residents to assess their views about robotic surgery and the effect, they believe, it might have on resident training. Materials and methods Questionnaires were distributed to 300 surgical residents from programs that do not have surgical robots. All other residents, faculty, medical students, and interns were excluded from the study. The responses were collected and analyzed using appropriate statistical methods. Results Overall, 210 surgical residents responded to the survey. A majority of them (57.72%) reported low levels of knowledge regarding robotic surgery. While 88.10% of the study participants reported that the use of robotic surgery will continue to rise in India, an equal proportion (88%) believed that procuring a robot in their program will impair their training in open and laparoscopic surgeries. Conclusions The introduction of robotic surgery into surgical residency programs is seen, by most residents, as a threat to training in traditional surgical methods. This calls for the effective incorporation of robotic training into residency training with equal distribution of resident training cases in programs across the country.

摘要

背景 在印度次大陆,机器人手术的广泛应用在住院医师和导师中引起了不同的反应。然而,迄今为止,尚无研究记录印度外科住院医师对机器人手术对外科培训影响的看法。因此,我们对印度外科住院医师进行了一项基于问卷调查的研究,以评估他们对机器人手术的看法以及他们认为机器人手术可能对住院医师培训产生的影响。

材料与方法 问卷被分发给来自没有手术机器人项目的300名外科住院医师。所有其他住院医师、教员、医学生和实习生均被排除在研究之外。使用适当的统计方法收集和分析回复。

结果 总体而言,210名外科住院医师回复了调查。他们中的大多数人(57.72%)报告称对机器人手术的了解程度较低。虽然88.10%的研究参与者报告说机器人手术在印度的使用将继续增加,但同样比例(88%)的人认为在他们的项目中购置机器人会损害他们在开放手术和腹腔镜手术方面的培训。

结论 大多数住院医师认为,将机器人手术引入外科住院医师培训项目对传统手术方法的培训构成威胁。这就要求将机器人培训有效地纳入住院医师培训,并在全国各项目中平均分配住院医师培训病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea16/8923250/9cebcbb9f72b/cureus-0014-00000022162-i01.jpg

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