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年轻专业人员使用显微镜和Symani机器人系统对客观分级显微手术步骤进行的模拟与比较。

Simulation and comparison of objectively graded microsurgery steps by using a microscope and Symani robotic system by young professionals.

作者信息

Wieker Henning, Brandenburg Niklas, Spille Dorothee, Wagner Juliane, Weitkamp Jan-Tobias, Wiltfang Jörg, Spille Johannes

机构信息

Department of Oral and Maxillofacial Surgery, Christian Albrechts University, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24105, Kiel, Germany.

Department of Neurosurgery, University Hospital Münster, Münster, Germany.

出版信息

J Robot Surg. 2025 Jun 17;19(1):299. doi: 10.1007/s11701-025-02490-3.

Abstract

The aim of the current study was to compare the accuracy of objectively graded microsurgery steps by young professionals using a microscope and a microsurgery robot. 40 students performed three exercises with a dental surgical operating microscope and a microsurgery robot. The exercises consisted of grasping and placing a needle, threading the needle, and performing a surgical knot. All students successfully completed the exercises with the microscope and the Symani. The microscope demonstrated significantly shorter operating times for grasping and placing a needle (p = 0.003) and for a single-button suture of an anastomosis (p < 0.001). Gaming, sewing, or knitting had a significant advantage for both the microscope and the Symani for grasping and placing a needle (p < 0.001). Young professionals appear to be able to work adequately with both the microscope and the robot in the surgical model for anastomoses. The students demonstrated a strong interest in adopting robotic technologies, which is why implementing robotics in the clinics' teaching process is necessary. This could inspire the next generation of medical professionals for robotic surgery and microsurgery, as well as support their career path.

摘要

本研究的目的是比较年轻专业人员使用显微镜和显微手术机器人对显微手术步骤进行客观评分的准确性。40名学生使用牙科手术显微镜和显微手术机器人进行了三项练习。这些练习包括抓取和放置针头、穿针以及打手术结。所有学生都成功地使用显微镜和Symani完成了练习。显微镜在抓取和放置针头(p = 0.003)以及吻合口单纽扣缝合(p < 0.001)方面的操作时间明显更短。玩游戏、缝纫或编织对于显微镜和Symani在抓取和放置针头方面都具有显著优势(p < 0.001)。年轻专业人员似乎能够在吻合手术模型中充分使用显微镜和机器人进行操作。学生们对采用机器人技术表现出浓厚兴趣,这就是为什么在临床教学过程中引入机器人技术是必要的。这可以激励下一代医学专业人员从事机器人手术和显微手术,同时也支持他们的职业发展道路。

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