Jiang Lingxiao, Chen Gaojie, Li Lu, Chen Ziyan, Yang Kun, Wang Xinghuan
Second Clinical College, Hospital of Wuhan University, Wuhan, Hubei, China.
Medicine - Remote Mapping Associated Laboratory, ZhongNan Hospital, Wuhan University, Wuhan, Hubei, China.
Surg Endosc. 2023 Dec;37(12):9190-9200. doi: 10.1007/s00464-023-10443-w. Epub 2023 Oct 16.
Currently, only a limited number of remote assistance modalities are utilized in the basic phase of robotic surgery training to facilitate the rapid acquisition of robotic surgery skills by surgeons. This study aimed to investigate the benefits of real-time remote surgical robotic skill training based on a multi-channel video recording and playback system.
We randomly divided 40 medical students without prior expertise in the use of surgical robots into two groups to assess the performance of trainees on a robotic simulator (Mimic dV-Trainer). The remote group received remote training, while the control group received live one-on-one guidance. We compared the learning curves of the two groups based on simulator scores. Furthermore, the NASA task load index (NASA-TLX) scale was used to measure the fatigue load of the trainers.
We observed no significant differences in the demographics or initial baseline skill levels between the two groups. Participants in the remote group achieved higher total scores in the Match Board 2 and Thread the Rings 1 exercises compared to the control group. In addition, trainers in the remote group reported lower subjective fatigue load than in the control group.
The remote approach to surgical robotics skills training based on the Remote Teaching System for Robotic Surgery (ReTeRoS) is both feasible and has the potential for large-scale training.
目前，在机器人手术培训的基础阶段，仅使用了有限数量的远程辅助方式，以促进外科医生快速掌握机器人手术技能。本研究旨在探讨基于多通道视频录制和回放系统的实时远程手术机器人技能培训的益处。
我们将40名此前没有使用手术机器人经验的医学生随机分为两组，以评估学员在机器人模拟器（Mimic dV-Trainer）上的表现。远程组接受远程培训，而对照组接受现场一对一指导。我们根据模拟器得分比较了两组的学习曲线。此外，使用美国国家航空航天局任务负荷指数（NASA-TLX）量表来测量培训人员的疲劳负荷。
我们观察到两组在人口统计学特征或初始基线技能水平方面没有显著差异。与对照组相比，远程组的参与者在“匹配板2”和“穿环1”练习中获得了更高的总分。此外，远程组的培训人员报告的主观疲劳负荷低于对照组。
基于机器人手术远程教学系统（ReTeRoS）的手术机器人技能远程培训方法既可行，又具有大规模培训的潜力。
