Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, 650-0017, Japan.
Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Langenbecks Arch Surg. 2024 Nov 1;409(1):332. doi: 10.1007/s00423-024-03514-6.
PURPOSE: Surgeons' adaptability to robotic manipulation remains underexplored. This study evaluated the participants' first-touch robotic training skills using the hinotori surgical robot system and its simulator (hi-Sim) to assess adaptability. METHODS: We enrolled 11 robotic surgeons (RS), 13 laparoscopic surgeons (LS), and 15 novices (N). After tutorial and training, participants performed pegboard tasks, camera and clutch operations, energizing operations, and suture sponge tasks on hi-Sim. They also completed a suture ligation task using the hinotori surgical robot system on a suture simulator. Median scores and task completion times were compared. RESULTS: Pegboard task scores were 95.0%, 92.0%, and 91.5% for the RS, LS, and N groups, respectively, with differences between the RS group and LS and N groups. Camera and clutch operation scores were 93.1%, 49.7%, and 89.1%, respectively, showing differences between the RS group and LS and N groups. Energizing operation scores were 90.9%, 85.2%, and 95.0%, respectively, with a significant difference between the LS and N groups. Suture sponge task scores were 90.6%, 43.1%, and 46.2%, respectively, with differences between the RS group and LS and N groups. For the suture ligation task, completion times were 368 s, 666 s, and 1095 s, respectively, indicating differences among groups. Suture scores were 12, 10, and 7 points, respectively, with differences between the RS and N groups. CONCLUSION: First-touch simulator-based robotic skills were partially influenced by prior robotic surgical experience, while suturing skills were affected by overall surgical experience. Thus, robotic training programs should be tailored to individual adaptability.
目的:外科医生对机器人操作的适应能力仍未得到充分探索。本研究使用 hinotori 手术机器人系统及其模拟器(hi-Sim)评估了参与者的首次触摸机器人培训技能,以评估其适应性。
方法:我们招募了 11 名机器人外科医生(RS)、13 名腹腔镜外科医生(LS)和 15 名新手(N)。在教程和培训后,参与者在 hi-Sim 上完成了钉板任务、摄像头和离合器操作、通电操作和缝合海绵任务。他们还使用 hinotori 手术机器人系统在缝合模拟器上完成了缝合结扎任务。比较了中位数得分和任务完成时间。
结果:钉板任务得分分别为 RS 组 95.0%、LS 组 92.0%和 N 组 91.5%,RS 组与 LS 组和 N 组之间存在差异。摄像头和离合器操作得分分别为 RS 组 93.1%、LS 组 49.7%和 N 组 89.1%,RS 组与 LS 组和 N 组之间存在差异。通电操作得分分别为 RS 组 90.9%、LS 组 85.2%和 N 组 95.0%,LS 组与 N 组之间存在差异。缝合海绵任务得分分别为 RS 组 90.6%、LS 组 43.1%和 N 组 46.2%,RS 组与 LS 组和 N 组之间存在差异。对于缝合结扎任务,完成时间分别为 RS 组 368s、LS 组 666s 和 N 组 1095s,表明组间存在差异。缝合得分分别为 RS 组 12 分、LS 组 10 分和 N 组 7 分,RS 组与 N 组之间存在差异。
结论:首次触摸基于模拟器的机器人技能部分受到先前机器人手术经验的影响,而缝合技能受到整体手术经验的影响。因此,机器人培训计划应根据个体适应性进行定制。
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