Østdal Theresa Bruun, Tang Diana Hai Yen, Olsen Rikke Groth, Olsen Louise Møller, Konge Lars, Bjerrum Flemming
Copenhagen Academy for Medical Education and Simulation, Centre for HR and Education, The Capital Region, Ryesgade 53B, 2100, Copenhagen, Denmark.
The Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Surg Endosc. 2024 Dec;38(12):7165-7171. doi: 10.1007/s00464-024-11275-y. Epub 2024 Oct 3.
Robot-assisted surgery is used worldwide, allowing surgeons to perform complex surgeries with increased precision and flexibility. It offers technical benefits compared to traditional laparoscopic surgery due to its utilization of both 3D vision and articulated instruments. The objective was to investigate the isolated effect of 3D- versus 2D monitors when working with articulated instruments in robot-assisted surgery.
Surgical novices (medical students, n = 31) were randomized to simulation-based training with either the 3D vision switched on or off. Both groups completed each of the four exercises six times over two sessions on the Medtronic Hugo™ RAS system simulator. The outcome was the simulator performance parameters and a visual discomfort questionnaire.
For the efficiency parameters, we found that both groups improved over time (p < 0.001) and that the intervention group (3D) consistently outperformed the control (2D) group (p < 0.001). On the other hand, we didn't find any significant difference in the error metrics, such as drops (p-values between 0.07 and 0.57) and instrument collisions (p-values between 0.09 and 0.26). Regarding Visual Discomfort, it was significantly more difficult for the 3D group to focus (p = 0.001).
3D monitors for an open robotic console improve efficiency and speed compared to 2D monitors in a simulated setting when working with articulated instruments.
机器人辅助手术在全球范围内得到应用，使外科医生能够以更高的精度和灵活性进行复杂手术。由于其利用了3D视觉和关节式器械，与传统腹腔镜手术相比具有技术优势。目的是研究在机器人辅助手术中使用关节式器械时，3D显示器与2D显示器的单独效果。
外科新手（医学生，n = 31）被随机分配到3D视觉开启或关闭的基于模拟的训练中。两组在美敦力Hugo™机器人辅助手术系统模拟器上，分两个阶段对四项练习各完成六次。结果指标为模拟器性能参数和视觉不适问卷。
对于效率参数，我们发现两组随着时间推移均有改善（p < 0.001），且干预组（3D）始终优于对照组（2D）（p < 0.001）。另一方面，我们在错误指标上未发现任何显著差异，如掉落（p值在0.07至0.57之间）和器械碰撞（p值在0.09至0.26之间）。关于视觉不适，3D组聚焦明显更困难（p = 0.001）。
在模拟环境中使用关节式器械时，与2D显示器相比，开放式机器人控制台的3D显示器可提高效率和速度。
