Department of General Thoracic Surgery, Breast and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Sci Rep. 2023 Dec 18;13(1):22615. doi: 10.1038/s41598-023-49876-7.
Although robotic-assisted surgery has the advantages of low patient burden and high precision without unsteady hand movements, the lack of tactile sensations may result in unexpected iatrogenic organ damage. The Saroa (Riverfield Inc., Tokyo, Japan) is a pneumatically driven robot that provides real-time haptic feedback to the surgeon. Using the Saroa robot, six examinees performed puffed rice transfer and four of them performed pig lung resection tasks with the feedback function turned on and off. The puffed rice transfer task consisted of transferring 20 grains of puffed rice from the left to the right compartment in the training box. The mean grasping forces during the puffed rice transfer task with the haptic feedback function turned off and on were 2.14 N and 0.63 N, respectively (P = 0.003). The mean grasping forces during the pig lung resection task were lower with the feedback turned on than turned off. The force that the forceps exerted on the grasping object was weaker in both tasks when the haptic feedback function was turned on, suggesting that the feedback function allows gentler handling of tissues, improving patient safety during robotic surgery.
虽然机器人辅助手术具有患者负担低、手部动作稳定、精度高的优点,但缺乏触觉可能会导致意外的医源性器官损伤。Saroa(Riverfield Inc.,东京,日本)是一种气动驱动的机器人,可为外科医生提供实时触觉反馈。使用 Saroa 机器人,六名受试者进行了爆米花转移任务,其中四人在开启和关闭反馈功能的情况下进行了猪肺切除任务。在爆米花转移任务中,受试者需将 20 粒爆米花从左侧转移到训练箱的右侧隔室。关闭和开启触觉反馈功能时的平均抓取力分别为 2.14N 和 0.63N(P=0.003)。开启反馈功能时,猪肺切除任务中的平均抓取力较低。在两项任务中,开启触觉反馈功能时,钳子施加在抓取物体上的力较弱,这表明反馈功能允许更轻柔地处理组织,从而提高机器人手术过程中的患者安全性。