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当前机器人手术培训的实践与未来。

Current practises and the future of robotic surgical training.

机构信息

Lister Hospital, Hertfordshire and Bedfordshire Urological Cancer Centre, Stevenage, Hertfordshire, UK.

Lister Hospital, Hertfordshire and Bedfordshire Urological Cancer Centre, Stevenage, Hertfordshire, UK; University of Hertfordshire, School of Life and Medical Sciences, Hatfield, Hertfordshire, UK.

出版信息

Surgeon. 2023 Oct;21(5):314-322. doi: 10.1016/j.surge.2023.02.006. Epub 2023 Mar 15.

Abstract

INTRODUCTION

This study reviews the current state of robotic surgery training for surgeons, including the various curricula, training methods, and tools available, as well as the challenges and limitations of these.

METHODS

The authors carried out a literature search across PubMed, MEDLINE, and Google Scholar using keywords related to 'robotic surgery', 'computer-assisted surgery', 'simulation', 'virtual reality', 'surgical training', and 'surgical education'. Full text analysis was performed on 112 articles.

TRAINING PROGRAMMES

The training program for robotic surgery should focus on proficiency, deliberation, and distribution principles. The curricula can be broadly split up into pre-console and console-side training. Pre-Console and Console-Side Training: Simulation training is an important aspect of robotic surgery training to improve technical skill acquisition and reduce mental workload, which helps prepare trainees for live procedures.

OPERATIVE PERFORMANCE ASSESSMENT

The study also discusses the various validated assessment tools used for operative performance assessments.

FUTURE ADVANCES

Finally, the authors propose potential future directions for robotic surgery training, including the use of emerging technologies such as AI and machine learning for real-time feedback, remote mentoring, and augmented reality platforms like Proximie to reduce costs and overcome geographic limitations.

CONCLUSION

Standardisation in trainee performance assessment is needed. Each of the robotic curricula and platforms has strengths and weaknesses. The ERUS Robotic Curriculum represents an evidence-based example of how to implement training from novice to expert. Remote mentoring and augmented reality platforms can overcome the challenges of high equipment costs and limited access to experts. Emerging technologies offer promising advancements for real-time feedback and immersive training environments, improving patient outcomes.

摘要

简介

本研究回顾了外科医生机器人手术培训的现状,包括各种课程、培训方法和可用工具,以及这些方法的挑战和局限性。

方法

作者使用与“机器人手术”、“计算机辅助手术”、“模拟”、“虚拟现实”、“手术培训”和“手术教育”相关的关键字,在 PubMed、MEDLINE 和 Google Scholar 上进行了文献检索。对 112 篇文章进行了全文分析。

培训计划

机器人手术培训计划应侧重于熟练程度、深思熟虑和分配原则。课程可以大致分为控制台前和控制台侧培训。控制台前和控制台侧培训:模拟培训是机器人手术培训的一个重要方面,可提高技术技能的获取并降低心理工作量,帮助受训者为实际手术做好准备。

手术操作表现评估

该研究还讨论了用于手术操作表现评估的各种经过验证的评估工具。

未来进展

最后,作者提出了机器人手术培训的潜在未来方向,包括使用人工智能和机器学习等新兴技术进行实时反馈、远程指导以及 Proximie 等增强现实平台,以降低成本并克服地理限制。

结论

需要对学员表现评估进行标准化。每个机器人课程和平台都有其优缺点。ERUS 机器人课程代表了如何从新手到专家实施培训的一个基于证据的示例。远程指导和增强现实平台可以克服设备成本高和专家资源有限的挑战。新兴技术为实时反馈和沉浸式培训环境提供了有前途的进展,改善了患者的预后。

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