Department of Surgery, Mayo Clinic, 200 First St. SW Rochester, MN, 55905, USA.
Department of Surgery, University of California San Francisco, 513 Parnassus Avenue, S-321, San Francisco, CA, 94143-0470, USA.
Am J Surg. 2022 Sep;224(3):908-913. doi: 10.1016/j.amjsurg.2022.05.006. Epub 2022 May 25.
Given the challenges of teaching in robotic operating rooms, we sought to investigate the language of perceptual expertise used by robotic surgeons, in an effort to improve current approaches to robotic training.
Expert robotic surgeons reviewed 8 anonymous video clips portraying key portions of two robotic general surgery procedures and their comments were recorded and transcribed. Using content analysis, each transcript was double-coded and reconciled using a consensus developed codebook.
Seventeen expert robotic surgeons participated and comments formed two primary themes: visual comprehension and surgical technique. Surgeons minimally used tactile language. Risk avoidance was a second-order theme dominating language used.
Experts occasionally used tactile language and emphasized risk avoidance as they observed robotic surgery. Despite the need to communicate perceptual expertise to trainees in robotic surgery, tactile language was not exhibited by expert surgeons, revealing an important future area of focus for intraoperative teaching skills.
鉴于机器人手术室教学的挑战，我们试图研究机器人外科医生使用的感知专长语言，以努力改进当前的机器人培训方法。
专家机器人外科医生审查了 8 个匿名视频剪辑，这些剪辑描绘了两个机器人普通外科手术的关键部分，记录并转录了他们的评论。使用内容分析，每个记录都进行了双重编码，并使用共识开发的代码本进行了协调。
17 名专家机器人外科医生参与了这项研究，评论形成了两个主要主题：视觉理解和手术技术。外科医生很少使用触觉语言。风险规避是主导语言使用的第二级主题。
专家在观察机器人手术时偶尔会使用触觉语言并强调风险规避。尽管需要向机器人手术的学员传达感知专长，但专家外科医生并没有表现出触觉语言，这揭示了术中教学技能的一个重要未来关注领域。
