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从手术和人机工程学角度分析康多-SR-1500 和康多-SR-2000 机器人辅助部分肾切除术:猪模型中的前瞻性对照研究。

Analysis of KangDuo-SR-1500 and KangDuo-SR-2000 robotic partial nephrectomy from an operative and ergonomic perspective: a prospective controlled study in porcine models.

机构信息

Department of Urology, Institute of Urology, Peking University First Hospital, Peking University, National Urological Cancer Center, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China.

Department of Urology, Emergency General Hospital, Beijing, 100028, China.

出版信息

J Robot Surg. 2024 Jan 13;18(1):26. doi: 10.1007/s11701-023-01770-0.

Abstract

The objective of this study is to explore the safety and effectiveness of two new models of KangDuo surgical robots for partial nephrectomy in porcine models, and evaluate the ergonomic characteristics from both subjective and objective perspectives. Twelve porcine models were equally divided for KD-SR-1500 (three-arm) and KD-SR-2000 (four-arm). The perioperative outcomes, and physical and mental workload of the surgeon were compared. Physical workload was evaluated with surface electromyography. Mental workload was evaluated with NASA-TLX. All surgeries were performed successfully. There were no differences in perioperative variables (p > 0.05). There were no perioperative complications. The mental workload in both groups was at a low level. KD-SR-2000 showed advantages in physical workload (p < 0.01). KD-SR-1500 and KD-SR-2000 are technically feasible, valid, and safe for RAPN in porcine models. KD-SR-2000 had ergonomic advantages over KD-SR-1500.

摘要

本研究旨在探索两种新型康多手术机器人在猪模型中进行部分肾切除术的安全性和有效性,并从主观和客观两方面评估其人机工程学特征。12 头猪模型等分为 KD-SR-1500(三臂)和 KD-SR-2000(四臂)两组。比较围手术期结果、术者的身心工作负荷。采用表面肌电图评估体力工作负荷,采用 NASA-TLX 评估精神工作负荷。所有手术均成功完成。围手术期各项指标差异无统计学意义(p>0.05)。无围手术期并发症。两组的精神工作负荷均处于较低水平。KD-SR-2000 在体力工作负荷方面具有优势(p<0.01)。KD-SR-1500 和 KD-SR-2000 技术上可行、有效,适用于猪模型的 RAPN。KD-SR-2000 在人机工程学方面优于 KD-SR-1500。

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