Comparison of Surgical Skills in Laparoscopic and Robotic Tasks Between Experienced Surgeons and Novices in Laparoscopic Surgery: An Experimental Study

作者: Hye Jin Kim , Gyu-Seog Choi , Jun Seok Park , Soo Yeun Park

DOI: 10.3393/AC.2014.30.2.71

关键词: Set (psychology)MedicineSurgeryTask (project management)Robotic surgeryLaparoscopic surgeryRobotic systemsMedical physicsSurgical skills

摘要: PURPOSE Robotic surgery is known to provide an improved technical ability as compared laparoscopic surgery. We aimed compare the efficiency of surgical skills by performing same experimental tasks using both and robotic systems in attempt determine if a system has advantage over system. METHODS Twenty participants without any experience, 10 novices (LN: medical students) laparoscopically-experienced surgeons (LE: trainees fellows), performed 3 training-box-based tasks. This entire set was twice. RESULTS Compared with LN, LEs showed significantly better performances all task during 2 trials. Within LN group, were shown However, LE tasks, performance seen only 1. When we sets trials, second trial, 3; 3. CONCLUSION had than two these results more noticeable for LN. These suggest that can be easily learned experience because its advantages. further trials are needed investigate advantages detail.

参考文章(24)
W.S. Melvin, B.J. Needleman, K.R. Krause, C. Schneider, R.K. Wolf, R.E. Michler, E.C. Ellison, Computer-enhanced robotic telesurgery. Initial experience in foregut surgery. Surgical Endoscopy and Other Interventional Techniques. ,vol. 16, pp. 1790- 1792 ,(2002) , 10.1007/S00464-001-8192-9
Guy-Bernard Cadière, M.D., Ph.D., Jacques Himpens, M.D., Olivier Germay, Rachel Izizaw, Michel Degueldre, M.D., Jean Vandromme, M.D., Elie Capelluto, M.D., Jean Bruyns, M.D., Feasibility of robotic laparoscopic surgery: 146 cases. World Journal of Surgery. ,vol. 25, pp. 1467- 1477 ,(2001) , 10.1007/S00268-001-0132-2
Richard Reznick, Glenn Regehr, Helen MacRae, Jenepher Martin, Wendy McCulloch, Testing technical skill via an innovative “bench station” examination American Journal of Surgery. ,vol. 173, pp. 226- 230 ,(1997) , 10.1016/S0002-9610(97)89597-9
Kesavapillai Subramonian, Suren DeSylva, Peter Bishai, Peter Thompson, Gordon Muir, Acquiring surgical skills: a comparative study of open versus laparoscopic surgery. European Urology. ,vol. 45, pp. 346- 351 ,(2004) , 10.1016/J.EURURO.2003.09.021
Garth H. Ballantyne, The Pitfalls of Laparoscopic Surgery: Challenges for Robotics and Telerobotic Surgery Surgical Laparoscopy Endoscopy & Percutaneous Techniques. ,vol. 12, pp. 1- 5 ,(2002) , 10.1097/00129689-200202000-00001
G.H. Ballantyne, Robotic surgery, telerobotic surgery, telepresence, and telementoring Surgical Endoscopy and Other Interventional Techniques. ,vol. 16, pp. 1389- 1402 ,(2002) , 10.1007/S00464-001-8283-7
K. Moorthy, V. Datta, S. Martin, A. Dosis, J. D. Hernandez, S. D. Bann, Y. Munz, F. Bello, A. Darzi, T. Rockall, Qualitative and quantitative analysis of the learning curve of a simulated surgical task on the da Vinci system. Surgical Endoscopy and Other Interventional Techniques. ,vol. 18, pp. 372- 378 ,(2004) , 10.1007/S00464-003-9047-3
W. Schwenk, A. Shamiyeh, A. Szold, E. Targarona, B. Ure, E. Neugebauer, D. Korolija, S. Sauerland, S. Wood-Dauphinée, C. C. Abbou, E. Eypasch, M. García. Caballero, M. A. Lumsden, B. Millat, J. R. T. Monson, G. Nilsson, R. Pointner, Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery. Surgical Endoscopy and Other Interventional Techniques. ,vol. 18, pp. 879- 897 ,(2004) , 10.1007/S00464-003-9263-X
Makoto Hashizume, Kouzou Konishi, Norifumi Tsutsumi, Shohei Yamaguchi, Rinshyun Shimabukuro, A new era of robotic surgery assisted by a computer-enhanced surgical system. Surgery. ,vol. 131, pp. 330- 333 ,(2002) , 10.1067/MSY.2002.120119
N.E. Quick, J.C. Gillette, R. Shapiro, G.L. Adrales, D. Gerlach, A.E. Park, The effect of using laparoscopic instruments on muscle activation patterns during minimally invasive surgical training procedures. Surgical Endoscopy and Other Interventional Techniques. ,vol. 17, pp. 462- 465 ,(2003) , 10.1007/S00464-002-8530-6